Individual provider Active NPI

Rhiannon Cordeiro, RDHAP

  • Dental Hygienist
  • San Diego, CA
National Provider Identifier
1033622238
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
810 Issued in CA
Practice address
6832 Panamint Row Unit 4
San Diego, CA 92139-2817
Phone
(619) 829-8479
NPI assigned
Nov 9, 2017
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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 27974 CA
Dental Hygienist 124Q00000X 810 CA Primary

Addresses

Primary practice location

6832 Panamint Row Unit 4
San Diego, CA 92139-2817

Mailing address

6832 Panamint Row Unit 4
San Diego, CA 92139-2817
Phone (619) 829-8479

Other practice location 1

3177 Ocean View Blvd
San Diego, CA 92113-1432
Phone (619) 662-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SANDIEGO

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
27974CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1033622238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 PANAMINT ROW UNIT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392817",
            "telephone_number": "619-829-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 PANAMINT ROW UNIT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392817",
            "telephone_number": "619-829-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3177 Ocean View Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921131432",
            "country_code": "US",
            "telephone_number": "619-662-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDEIRO",
        "first_name": "RHIANNON",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "27974",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SANDIEGO",
            "affiliation": "N",
            "address_1": "6832 Panamint Row Unit 4",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921392817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.