Individual provider Active NPI

Raquel Diaz, RDH

  • Dental Hygienist
  • Sebring, FL
National Provider Identifier
1063184653
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH22461 Issued in FL
Practice address
901 US Highway 27 N Ste 60
Sebring, FL 33870-2129
Phone
(863) 471-1176
NPI assigned
Oct 1, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH22461 FL Primary

Addresses

Primary practice location

901 US Highway 27 N Ste 60
Sebring, FL 33870-2129

Mailing address

3277 Country Hill Rd
Sebring, FL 33872-3346
Phone (863) 441-4602

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

LicenseStateTypeSpecialty
DH22461FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. CurrentSince Oct 17, 2021 Accepting new patients
Coast Dental P.a. PastSince Oct 17, 2021 Accepting new patients

Locations

901 US 27 N
Ste 60
Sebring, FL 33870
Phone (863) 471-1176

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, 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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1063184653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 COUNTRY HILL RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338723346",
            "telephone_number": "863-441-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US HIGHWAY 27 N STE 60",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702129",
            "telephone_number": "863-471-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RAQUEL",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH22461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.