Active NPI
Brooke A Edgar
- Specialist
- Chico, CA
National Provider Identifier
1053093658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 101 Raley Blvd Ste 104
Chico, CA 95928-8352 - Phone
- (530) 570-7471
- NPI assigned
- Aug 2, 2023
- Last updated
- Aug 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 26865 | CA | |
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
101 Raley Blvd Ste 104
Chico, CA 95928-8352
Mailing address
101 Raley Blvd Ste 104
Chico, CA 95928-8352
Phone (530) 570-7471
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robles Dental Group Inc | Current | Accepting new patients |
Locations
101 Raley Blvd
Ste 104
Chico, CA 95928
Phone (530) 570-7471
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1053093658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RALEY BLVD STE 104",
"city": "CHICO",
"state": "CA",
"postal_code": "959288352",
"telephone_number": "530-570-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RALEY BLVD STE 104",
"city": "CHICO",
"state": "CA",
"postal_code": "959288352",
"telephone_number": "530-570-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGAR",
"first_name": "BROOKE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "26865",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.