Active NPI
Raina Danielle Hodson, RDH
- Dental Hygienist
- Las Vegas, NV
National Provider Identifier
1083903017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4447
- Practice address
- 4145 Jimmy Durante Blvd
Las Vegas, NV 89122-5431 - Phone
- (702) 521-4550
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 4447 | NV | Primary |
Addresses
Primary practice location
4145 Jimmy Durante Blvd
Las Vegas, NV 89122-5431
Mailing address
7121 W Craig Rd
Ste 113
Las Vegas, NV 89129-6001
Phone (702) 521-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273160598 | Other | NV | FUTURE SMILES |
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 |
|---|---|---|---|
| 4447 | NV | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1083903017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 W CRAIG RD",
"address_2": "STE 113",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296001",
"telephone_number": "702-521-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 JIMMY DURANTE BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891225431",
"telephone_number": "702-521-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODSON",
"first_name": "RAINA",
"middle_name": "DANIELLE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NV",
"license": "4447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FUTURE SMILES",
"identifier": "273160598",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.