Active NPI
Rachael Roberts, RDH
- Dental Hygienist
- Irvine, CA
National Provider Identifier
1043554553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 23047
- Practice address
- 4330 Barranca Pkwy
St 100
Irvine, CA 92604-4755 - Phone
- (949) 552-6334
- NPI assigned
- Nov 21, 2012
- 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 | 23047 | CA | Primary |
Addresses
Primary practice location
4330 Barranca Pkwy
St 100
Irvine, CA 92604-4755
Mailing address
4330 Barranca Pkwy
St 100
Irvine, CA 92604-4755
Phone (949) 552-6334
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 |
|---|---|---|---|
| 23047 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colin Suzman, BDS, DDS, a Professional Corp. | 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.
-
- Dental Clinic/Center
- Irvine, CA
- NPI 1982435541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1043554553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 BARRANCA PKWY",
"address_2": "ST 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044755",
"telephone_number": "949-552-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 BARRANCA PKWY",
"address_2": "ST 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044755",
"telephone_number": "949-552-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "RACHAEL",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "23047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.