Active NPI
Katrina Virgin, RDH, MS
- Dental Hygienist
- San Antonio, TX
National Provider Identifier
1174160600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 23476
- Practice address
- 427 9TH St
San Antonio, TX 78215-1528 - Phone
- (210) 951-3280
- Fax
- (210) 858-9220
- NPI assigned
- Dec 3, 2019
- Last updated
- Dec 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 118822 | AK | |
| Dental Hygienist | 124Q00000X | 23476 | CA | Primary |
Addresses
Primary practice location
427 9TH St
San Antonio, TX 78215-1528
Mailing address
2020 Beaver Lake Dr
Kodiak, AK 99615-6683
Phone (907) 671-3451
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118822 | AK | MD | Dental Hygienist |
| 23476 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1174160600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 BEAVER LAKE DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156683",
"telephone_number": "907-671-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 9TH ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782151528",
"telephone_number": "210-951-3280",
"fax_number": "210-858-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGIN",
"first_name": "KATRINA",
"name_prefix": "Mrs.",
"credential": "RDH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AK",
"license": "118822",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "23476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.