Individual provider Active NPI

Douglas Gail Hufnagel, DDS

  • Dentist
  • Palo Cedro, CA
National Provider Identifier
1922250570
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24462 Issued in CA
Practice address
9434 Deschutes Rd
Palo Cedro, CA 96073
Phone
(530) 547-4418
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24462 CA Primary

Addresses

Primary practice location

9434 Deschutes Rd
Palo Cedro, CA 96073

Mailing address

P.O. Box 537
Palo Cedro, CA 96073
Phone (530) 547-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1922250570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 537",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "96073",
            "telephone_number": "530-547-4418",
            "fax_number": "530-547-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 DESCHUTES RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "96073",
            "telephone_number": "530-547-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFNAGEL",
        "first_name": "DOUGLAS",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Cedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.