Active NPI
Anna McDonald
- Dental Hygienist
- Diamond Bar, CA
National Provider Identifier
1245793405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 97
- Practice address
- 22810 Sunset Crossing Rd
Diamond Bar, CA 91765-1029 - Phone
- (317) 805-9137
- NPI assigned
- Apr 12, 2019
- Last updated
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 97 | CA | Primary |
| General Practice Physician | 208D00000X | 97 | CA |
Addresses
Primary practice location
22810 Sunset Crossing Rd
Diamond Bar, CA 91765-1029
Mailing address
22810 Sunset Crossing Rd
Diamond Bar, CA 91765-1029
Phone (317) 805-9137
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": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1245793405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22810 SUNSET CROSSING RD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651029",
"telephone_number": "317-805-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22810 SUNSET CROSSING RD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651029",
"telephone_number": "317-805-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "97",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "97",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.