Individual provider Active NPI

Cynthia Pledger, RDHAP

  • Dental Hygienist
  • Yucaipa, CA
National Provider Identifier
1194943159
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP 156 Issued in CA
Practice address
12799 Columbia Ave
Yucaipa, CA 92399-2239
Phone
(909) 795-8362
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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 HAP 156 CA Primary
Dental Hygienist 124Q00000X RDH 13822 CA

Addresses

Primary practice location

12799 Columbia Ave
Yucaipa, CA 92399-2239

Mailing address

12799 Columbia Ave
Yucaipa, CA 92399-2239
Phone (909) 795-8362

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
HAP 156CAMDDental Hygienist
RDH 13822CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1194943159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12799 COLUMBIA AVE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992239",
            "telephone_number": "909-795-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12799 COLUMBIA AVE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992239",
            "telephone_number": "909-795-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEDGER",
        "first_name": "CYNTHIA",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP 156",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH 13822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.