Individual provider Active NPI

Anna Krokee, RDHAP

  • Dental Hygienist
  • San Diego, CA
National Provider Identifier
1194038125
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
300 Issued in CA
Practice address
1253 Opal St
San Diego, CA 92109-1833
Phone
(858) 220-9087
Fax
(858) 488-4250
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 300 CA Primary
Dental Hygienist 124Q00000X 22521 CO

Addresses

Primary practice location

1253 Opal St
San Diego, CA 92109-1833

Mailing address

1253 Opal St
San Diego, CA 92109-1833
Phone (858) 220-9087

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
22521COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1194038125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 OPAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091833",
            "telephone_number": "858-220-9087",
            "fax_number": "858-488-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 OPAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091833",
            "telephone_number": "858-220-9087",
            "fax_number": "858-488-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROKEE",
        "first_name": "ANNA",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "300",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "22521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.