Active NPI
James B. Duhamel, Dental Corporation
- Customized Equipment (DME)
- Modesto, CA
National Provider Identifier
1962833699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 23820
- Legal business name
- JAMES B. DUHAMEL, DENTAL CORPORATION
- Practice address
- 2200 McHenry Ave Ste B
Modesto, CA 95350-3255 - Phone
- (209) 529-2726
- Fax
- (209) 772-8666
- NPI assigned
- Dec 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Brian Duhamel, DDS
- Title
- Owner
- Phone
- (209) 772-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 23820 | CA | Primary |
Addresses
Primary practice location
2200 McHenry Ave Ste B
Modesto, CA 95350-3255
Mailing address
PO Box 607
Valley Springs, CA 95252-0607
Phone (209) 772-9600
Other names 1
- Sleep Dental Services - Lodi, Dental Group of James B. DuHamel, Dental
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080521000283 | CA | Part B Supplier - Clinic/Group Practice | 6709955487 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lodi, CA; Modesto, CA; Valley Springs, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Customized Equipment (DME)
- Lodi, CA
- NPI 1316158140
O20080521000283
-
- Customized Equipment (DME)
- Valley Springs, CA
- NPI 1952798894
O20080521000283
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558569600000",
"number": "1962833699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "VALLEY SPRINGS",
"state": "CA",
"postal_code": "952520607",
"telephone_number": "209-772-9600",
"fax_number": "209-772-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 MCHENRY AVE STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503255",
"telephone_number": "209-529-2726",
"fax_number": "209-772-8666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES B. DUHAMEL, DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-05",
"last_updated": "2019-05-23",
"status": "A",
"authorized_official_last_name": "DUHAMEL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-772-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "23820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sleep Dental Services - Lodi, Dental Group of James B. DuHamel, Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sleep Dental Services - Lodi, Dental Group of James B. DuHamel, Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.