Active NPI
Michele Marie Patton, RDH
- Dental Hygienist
- Costa Mesa, CA
National Provider Identifier
1144764606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH8711
- Practice address
- 2220 Fairview Rd.
Costa Mesa, CA 92627 - Phone
- (949) 645-2882
- Fax
- (949) 645-2191
- NPI assigned
- Dec 18, 2016
- 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 | RDH8711 | CA | Primary |
Addresses
Primary practice location
2220 Fairview Rd.
Costa Mesa, CA 92627
Mailing address
2220 Fairview Road
Costa Mesa, CA 92627
Phone (949) 645-6929
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 |
|---|---|---|---|
| RDH8711 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assistance League of Newport-Mesa California | Dental Hygienist | Past | Accepting new patients |
| Assistance League of Newport Mesa | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Costa Mesa, CA
- NPI 1235679804
Dental Hygienist
-
- General Practice Dentistry
- Costa Mesa, CA
- NPI 1942608435
Dental Hygienist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482019200000",
"number": "1144764606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 FAIRVIEW ROAD",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92627",
"telephone_number": "949-645-6929",
"fax_number": "949-645-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 FAIRVIEW RD.",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92627",
"telephone_number": "949-645-2882",
"fax_number": "949-645-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "MICHELE",
"middle_name": "MARIE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-18",
"last_updated": "2016-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH8711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.