Individual provider Active NPI

Torri Espinoza-Logan, RDH

  • Dental Hygienist
  • Fort Sam Houston, TX
National Provider Identifier
1114376019
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
21435 Issued in CA
Practice address
3145 Garden Ave
Suite 1278
Fort Sam Houston, TX 78234-7718
Phone
(210) 808-3735
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 21435 CA Primary

Addresses

Primary practice location

3145 Garden Ave
Suite 1278
Fort Sam Houston, TX 78234-7718

Mailing address

9710 Justice LN
Converse, TX 78109-1943
Phone (701) 340-8288

Other practice location 1

1811 Army Blvd Ste 2018
Jbsa Ft Sam Houston, TX 78234-2686
Phone (210) 221-0826

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
21435CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1114376019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 JUSTICE LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091943",
            "telephone_number": "701-340-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 GARDEN AVE",
            "address_2": "SUITE 1278",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347718",
            "telephone_number": "210-808-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Army Blvd Ste 2018",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "782342686",
            "country_code": "US",
            "telephone_number": "210-221-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA-LOGAN",
        "first_name": "TORRI",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "21435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.