NPIMap

Organization Active NPI

Niruyispc

  • Exclusive Provider Organization
  • Ventura, CA
National Provider Identifier
1831273002
Registry record updated May 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
56796 Issued in CA
Legal business name
NIRUYISPC
Practice address
3037 Martha Dr
Ventura, CA 93003-2934
Phone
(805) 656-6911
Fax
(805) 643-2671
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2011

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

Authorized official

Name
Dr. Sam Niruyi, DDS
Title
President
Phone
(602) 320-0246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D5292 AZ
Exclusive Provider Organization 302F00000X 56796 CA Primary

Addresses

Primary practice location

3037 Martha Dr
Ventura, CA 93003-2934

Mailing address

3037 Martha Dr
Ventura, CA 93003-2934
Phone (805) 656-6911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304812800000",
    "number": "1831273002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 MARTHA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032934",
            "telephone_number": "805-656-6911",
            "fax_number": "805-643-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 MARTHA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032934",
            "telephone_number": "805-656-6911",
            "fax_number": "805-643-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRUYISPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-05-08",
        "status": "A",
        "authorized_official_last_name": "NIRUYI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-320-0246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5292",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "56796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2011; 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.