Individual provider Active NPI

Tynesha Felice Calimquim, RDH

  • Dental Hygienist
  • Temecula, CA
National Provider Identifier
1235737164
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
20278 Issued in CA
Practice address
42512 Garcia Way
Temecula, CA 92592-6645
Phone
(619) 977-2168
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

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 20278 CA Primary

Addresses

Primary practice location

42512 Garcia Way
Temecula, CA 92592-6645

Mailing address

42512 Garcia Way
Temecula, CA 92592-6645
Phone (619) 977-2168

Other names 1

  • Ms. Tynesha Felice Robinson Other name

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
20278CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1235737164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42512 GARCIA WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926645",
            "telephone_number": "619-977-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42512 GARCIA WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926645",
            "telephone_number": "619-977-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIMQUIM",
        "first_name": "TYNESHA",
        "middle_name": "FELICE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "20278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYNESHA",
            "last_name": "ROBINSON",
            "middle_name": "FELICE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; 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.