Individual provider Active NPI

Kianna Morning Maxie, X-2

  • Dental Hygienist
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1225868060
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Practice address
2940 Stanley Rd
Jbsa Ft Sam Houston, TX 78234-2740
Phone
(210) 295-4095
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Primary

Addresses

Primary practice location

2940 Stanley Rd
Jbsa Ft Sam Houston, TX 78234-2740

Mailing address

2940 Stanley Rd
Jbsa Ft Sam Houston, TX 78234-2740
Phone (225) 337-3437

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1225868060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 STANLEY RD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342740",
            "telephone_number": "225-337-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 STANLEY RD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342740",
            "telephone_number": "210-295-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIE",
        "first_name": "KIANNA",
        "middle_name": "MORNING",
        "credential": "X-2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.