Individual provider Active NPI

Cheryl Annette Greer, RDHAP

  • Advanced Practice Dental Therapist
  • Redondo Beach, CA
National Provider Identifier
1073362273
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
HAP993 Issued in CA
Practice address
1732 Aviation Blvd # 953
Redondo Beach, CA 90278-2810
Phone
(310) 467-1394
NPI assigned
May 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental Therapist 125K00000X HAP993 CA Primary

Addresses

Primary practice location

1732 Aviation Blvd # 953
Redondo Beach, CA 90278-2810

Mailing address

1732 Aviation Blvd # 953
Redondo Beach, CA 90278-2810
Phone (310) 467-1394

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
HAP993CAMDAdvanced Practice Dental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl a Greer Rdhap Inc Advanced Practice Dental Therapist CurrentSince Jul 21, 2024 Accepting new patients

Locations

415 N Camden Dr
Ste 111
Beverly Hills, CA 90210
Phone (310) 251-1658

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1073362273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 AVIATION BLVD # 953",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810",
            "telephone_number": "310-467-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 AVIATION BLVD # 953",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782810",
            "telephone_number": "310-467-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "CHERYL",
        "middle_name": "ANNETTE",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "HAP993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.