Active NPI
McKenzie Rose Ray
- Dental Hygienist
- Somerton, AZ
National Provider Identifier
1124502620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H009160
- Practice address
- 950 E Main St BLDG B
Somerton, AZ 85350-7409 - Phone
- (928) 236-8001
- Fax
- (928) 722-6113
- NPI assigned
- Sep 20, 2018
- Last updated
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 | H009160 | AZ | Primary |
Addresses
Primary practice location
950 E Main St BLDG B
Somerton, AZ 85350-7409
Mailing address
PO Box 617
Somerton, AZ 85350-0617
Phone (928) 236-8001
Other practice location 1
1896 E Babbitt LN
San Luis, AZ 85349
Phone (928) 722-6112
Other practice location 2
214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120
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 |
|---|---|---|---|
| H009160 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1124502620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 617",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "853500617",
"telephone_number": "928-236-8001",
"fax_number": "928-722-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E MAIN ST BLDG B",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "853507409",
"telephone_number": "928-236-8001",
"fax_number": "928-722-6113"
}
],
"practiceLocations": [
{
"address_1": "1896 E BABBITT LN",
"address_purpose": "LOCATION",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "85349",
"country_code": "US",
"telephone_number": "928-722-6112",
"fax_number": "928-722-6113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 W MAIN ST",
"address_purpose": "LOCATION",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "85350",
"country_code": "US",
"telephone_number": "928-627-1120",
"fax_number": "928-722-6113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "MCKENZIE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H009160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerton, AZ
- Alexandra Pierre-Bez, D.M.D.
- Dalila Porchas
- Portable Practical Education Preparation, Inc. (Ppep BHS)
- Samuel Puentes, RT (ARRT)
- Nohemi Azucena Ramirez
- Cathy Reeves
- Regional Center for Border Health, Inc
- Regional Center for Border Health, Inc (Family Behavioral Integrated Services)
- Yubania Reyna
- Ricardo Rivas Mendez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.