Active NPI
Mary Louise Hunter, R.D.A.
- Dental Assistant
- Sacramento, CA
National Provider Identifier
1043364540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 31341
- Practice address
- 2521 Stockton Blvd
Room 5200
Sacramento, CA 95817-2207 - Phone
- (916) 734-5408
- Fax
- (916) 734-4960
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 126800000X | 31341 | CA | Primary |
Addresses
Primary practice location
2521 Stockton Blvd
Room 5200
Sacramento, CA 95817-2207
Mailing address
2521 Stockton Blvd
Room 5200
Sacramento, CA 95817-2207
Phone (916) 734-5408
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 |
|---|---|---|---|
| 31341 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Davis Univ Dental Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Special Hospital
- Sacramento, CA
- NPI 1285774109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043364540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 STOCKTON BLVD",
"address_2": "ROOM 5200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172207",
"telephone_number": "916-734-5408",
"fax_number": "916-734-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 STOCKTON BLVD",
"address_2": "ROOM 5200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172207",
"telephone_number": "916-734-5408",
"fax_number": "916-734-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Miss",
"credential": "R.D.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "31341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.