Individual provider Active NPI

Brenda Kibbler, RDHAP

  • Dental Hygienist
  • Northridge, CA
National Provider Identifier
1003972233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
22 Issued in CA
Practice address
10755 Wystone Ave
Northridge, CA 91326-3047
Phone
(818) 521-8572
Fax
(818) 832-4160
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 22 CA Primary

Addresses

Primary practice location

10755 Wystone Ave
Northridge, CA 91326-3047

Mailing address

10755 Wystone Ave
Northridge, CA 91326-3047
Phone (818) 521-8572

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003972233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 WYSTONE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263047",
            "telephone_number": "818-521-8572",
            "fax_number": "818-832-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 WYSTONE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263047",
            "telephone_number": "818-521-8572",
            "fax_number": "818-832-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBBLER",
        "first_name": "BRENDA",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.