Organization Active NPI

James B. Duhamel, Dental Corporation

  • Customized Equipment (DME)
  • Modesto, CA
National Provider Identifier
1962833699
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
23820 Issued in CA
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

Updated by the provider on May 23, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.