Individual provider Active NPI

Hilcia E. Moreno-Dasilva, RDH, RDHAP

  • Advanced Practice Dental Therapist
  • Encino, CA
National Provider Identifier
1023433323
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
448 Issued in CA
Practice address
17806 Miranda St
Encino, CA 91316-1115
Phone
(818) 370-4549
NPI assigned
Feb 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 14891 CA
Advanced Practice Dental Therapist 125K00000X 448 CA Primary

Addresses

Primary practice location

17806 Miranda St
Encino, CA 91316-1115

Mailing address

17806 Miranda St
Encino, CA 91316-1115
Phone (818) 370-4549

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

State licenses

LicenseStateTypeSpecialty
14891CAMDChiropractor
448CAMDAdvanced Practice Dental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1023433323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17806 MIRANDA ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161115",
            "telephone_number": "818-370-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 MIRANDA ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161115",
            "telephone_number": "818-370-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO-DASILVA",
        "first_name": "HILCIA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "RDH, RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-23",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "14891",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.