Organization Active NPI

Hurt Dental Corporation

  • Dentist
  • San Marcos, CA
National Provider Identifier
1861874463
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
122300000X Issued in CA
Legal business name
HURT DENTAL CORPORATION
Practice address
162 S Rancho Santa Fe Rd
San Marcos, CA 92078-2502
Phone
(760) 734-4311
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Gregory Allen Hurt, D.D.S.
Title
Owner/Dentist
Phone
(760) 734-4311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 122300000X CA Primary
Preferred Provider Organization 305R00000X 302F00000X CA

Addresses

Primary practice location

162 S Rancho Santa Fe Rd
San Marcos, CA 92078-2502

Mailing address

162 S Rancho Santa Fe Rd
San Marcos, CA 92078-2502
Phone (760) 734-4311

National Provider Directory

National Provider Directory

Locations

162 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 734-4311

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1861874463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782502",
            "telephone_number": "760-734-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782502",
            "telephone_number": "760-734-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "760-734-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "122300000X",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "302F00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.