Individual provider Active NPI

Caroline Cathleen Dornbush, RDHAP

  • Dental Hygienist
  • Lodi, CA
National Provider Identifier
1033499249
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDHAP86 Issued in CA
Practice address
3020 Sweetwood Dr
Lodi, CA 95242-2045
Phone
(209) 365-0350
Fax
(209) 365-0350
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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 RDHAP86 CA Primary
Dental Hygienist 124Q00000X RDH8485 CA

Addresses

Primary practice location

3020 Sweetwood Dr
Lodi, CA 95242-2045

Mailing address

3020 Sweetwood Dr
Lodi, CA 95242-2045
Phone (209) 365-0350

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
RDH8485CAMDDental Hygienist
RDHAP86CAMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: caroline.dornbush.p1@direct.cmcentersinc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1033499249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 SWEETWOOD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422045",
            "telephone_number": "209-365-0350",
            "fax_number": "209-365-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SWEETWOOD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422045",
            "telephone_number": "209-365-0350",
            "fax_number": "209-365-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBUSH",
        "first_name": "CAROLINE",
        "middle_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP86",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH8485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.