Active NPI
Clariza C Pascual, DMD, RDH
- Dental Hygienist
- Fort Washakie, WY
National Provider Identifier
1043091119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH22152
- Practice address
- 29 Black Coal Dr
Fort Washakie, WY 82514 - Phone
- (307) 335-5958
- NPI assigned
- Oct 13, 2023
- Last updated
- Mar 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH22152 | FL | Primary |
Addresses
Primary practice location
29 Black Coal Dr
Fort Washakie, WY 82514
Mailing address
P.O. Box 128
29 Black Coal Dr
Fort Washakie, WY 82514
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH22152 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709337600000",
"number": "1043091119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 128",
"address_2": "29 BLACK COAL DR",
"city": "FORT WASHAKIE",
"state": "WY",
"postal_code": "82514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BLACK COAL DR",
"city": "FORT WASHAKIE",
"state": "WY",
"postal_code": "82514",
"telephone_number": "307-335-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUAL",
"first_name": "CLARIZA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD, RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2024-03-02",
"certification_date": "2024-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH22152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washakie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.