Organization Active NPI

Kernsmile Dental Hygiene Practice of Luisa Moreno Rdhap

  • Dental Hygienist
  • Wasco, CA
National Provider Identifier
1194591222
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
KERNSMILE DENTAL HYGIENE PRACTICE OF LUISA MORENO RDHAP
Practice address
1402 7TH St
Wasco, CA 93280-1735
Phone
(661) 859-9946
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Maria Luisa Moreno, RDHAPNPI 1881064962
Title
Owner
Phone
(661) 859-9946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1402 7TH St
Wasco, CA 93280-1735

Mailing address

1402 7TH St
Wasco, CA 93280-1735
Phone (661) 859-9946

National Provider Directory

National Provider Directory

Locations

1402 7th St
Wasco, CA 93280
Phone (661) 859-9946

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1194591222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801735",
            "telephone_number": "661-859-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801735",
            "telephone_number": "661-859-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNSMILE DENTAL HYGIENE PRACTICE OF LUISA MORENO RDHAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-859-9946",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.