Active NPI
Gina Moraga, RDH,BS
- Dental Hygienist
- Albuquerque, NM
National Provider Identifier
1053807149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH3212
- Practice address
- 4400 Cutler Ave NE
Albuquerque, NM 87110-3935 - Phone
- (505) 881-1234
- NPI assigned
- Jul 2, 2018
- 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 | DH3212 | NM | Primary |
Addresses
Primary practice location
4400 Cutler Ave NE
Albuquerque, NM 87110-3935
Mailing address
4400 Cutler Ave NE
Albuquerque, NM 87110-3935
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH3212 | NM | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vocational Training Institute | Past | Accepting new patients | |
| Pima Medical Institute | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 2
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 Hygienist
- Albuquerque, NM
- NPI 1720491210
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1396049250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1053807149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 CUTLER AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 CUTLER AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103935",
"telephone_number": "505-881-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAGA",
"first_name": "GINA",
"credential": "RDH,BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH3212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.