Active NPI
Michaela Bixler, R.D.H.
- Dental Hygienist
- San Luis Obispo, CA
National Provider Identifier
1215016308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 18262
- Practice address
- 1370 Chorro St
San Luis Obispo, CA 93401-4006 - Phone
- (805) 543-6535
- Fax
- (805) 543-6879
- NPI assigned
- Nov 2, 2006
- 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 | 18262 | CA | Primary |
Addresses
Primary practice location
1370 Chorro St
San Luis Obispo, CA 93401-4006
Mailing address
1660 Saratoga Ave
Grover Beach, CA 93433-1864
Phone (805) 473-4711
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 |
|---|---|---|---|
| 18262 | CA | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215016308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 SARATOGA AVE",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934331864",
"telephone_number": "805-473-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 CHORRO ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014006",
"telephone_number": "805-543-6535",
"fax_number": "805-543-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIXLER",
"first_name": "MICHAELA",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "18262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.