Judith M. Boothby, RDHAP, BS

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP #1 Issued in CA

Practice address

8139 Sunset Ave
#105
Fair Oaks, CA 95628-5131

Phone

(916) 988-9767

Fax

(916) 989-1026

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114059193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8139 SUNSET AVE",
            "address_2": "#105",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285131",
            "telephone_number": "916-988-9767",
            "fax_number": "916-989-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8139 SUNSET AVE",
            "address_2": "#105",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285131",
            "telephone_number": "916-988-9767",
            "fax_number": "916-989-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHBY",
        "first_name": "JUDITH",
        "middle_name": "M.",
        "credential": "RDHAP, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP #1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Stinson Blythe, M.D.
• Mariana Boica
• Kirk Cameron Bolas, PHARMD, RPH
• Michael Jay Bone, DVM
• George Christopher Bonnett, MFT
• Brandon Arthur Bottini, DPM
• Summer Anne Bowler
• Seth H Bozarth, D.M.D.
• Nancy Diane Brady, MFT #38303 MASTERS I
• Alicia Brandt

• Dental Hygienist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.