Individual provider Active NPI

Michael Lowell Tobola

  • Dental Hygienist
  • Monrovia, CA
National Provider Identifier
1144723511
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP627 Issued in CA
Practice address
257 Standish St
Monrovia, CA 91016-4707
Phone
(818) 454-6718
NPI assigned
Mar 13, 2018
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 21066 CA
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X HAP627 CA Primary

Addresses

Primary practice location

257 Standish St
Monrovia, CA 91016-4707

Mailing address

257 Standish St
Monrovia, CA 91016-4707

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
HAP627CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1144723511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 STANDISH ST",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 STANDISH ST",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910164707",
            "telephone_number": "818-454-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBOLA",
        "first_name": "MICHAEL",
        "middle_name": "LOWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "21066",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.