Hussein Kalimuddin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100889 Issued in CA

Practice address

15209 Bear Valley Rd
Hesperia, CA 92345

Phone

(800) 507-6459

NPI assigned

Jun 25, 2015

Last updated

Jun 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1811379928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 E 4TH ST UNIT 3090",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645060",
            "telephone_number": "516-728-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "telephone_number": "800-507-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIMUDDIN",
        "first_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma Ann Juarez-Drew, DC
• Joe Louis Juarez Jr., DC
• Olivia Juarez, RN
• Hee Y Jun
• Kaiser Foundation Health Plan Inc
• Olivia E Karapanian, LCSW
• Lauretta Karolczak, FNP-BC
• Kathy T's Transportation LLC
• Frederick John Katz III
• Anna Jean Kaufer, PTA

• General Practice Dentistry in Hesperia, CA
• Providers in Hesperia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.