Organization Active NPI

Laurel Loomer

Doing business as Special Dental Hygiene Care

  • Dental Hygienist
  • Los Gatos, CA
National Provider Identifier
1023229622
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
161 Issued in CA
Legal business name
LAUREL LOOMER
Doing business as
Special Dental Hygiene Care
Practice address
16470 W la Chiquita Ave
Los Gatos, CA 95032-4635
Phone
(408) 358-0209
Fax
(408) 358-3670
NPI assigned
May 24, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Laurel E. Loomer, R.D.H.A.P.NPI 1396802518
Title
Owner
Phone
(408) 358-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 161 CA Primary

Addresses

Primary practice location

16470 W la Chiquita Ave
Los Gatos, CA 95032-4635

Mailing address

PO Box 899
Los Gatos, CA 95031-0899
Phone (408) 358-0209

Other identifiers 1

IdentifierTypeStateIssuer
Z89882-01MedicaidCA

Other names 1

  • Special Dental Hygiene Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1023229622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950310899",
            "telephone_number": "408-358-0209",
            "fax_number": "408-358-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16470 W LA CHIQUITA AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324635",
            "telephone_number": "408-358-0209",
            "fax_number": "408-358-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL LOOMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LOOMER",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-358-0209",
        "authorized_official_credential": "R.D.H.A.P."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z89882-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Dental Hygiene Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.