Active NPI
Katherine Joy Rensulat, RDHAP
- Dental Hygienist
- Pleasant Hill, CA
National Provider Identifier
1255529939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 160
- Practice address
- 818 Cumberland Dr
Pleasant Hill, CA 94523-4019 - Phone
- (510) 435-7956
- Fax
- (925) 988-8010
- NPI assigned
- Oct 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 160 | CA | Primary |
Addresses
Primary practice location
818 Cumberland Dr
Pleasant Hill, CA 94523-4019
Mailing address
818 Cumberland Dr
Pleasant Hill, CA 94523-4019
Phone (510) 435-7956
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 |
|---|---|---|---|
| 160 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1255529939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 CUMBERLAND DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234019",
"telephone_number": "510-435-7956",
"fax_number": "925-988-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 CUMBERLAND DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234019",
"telephone_number": "510-435-7956",
"fax_number": "925-988-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENSULAT",
"first_name": "KATHERINE",
"middle_name": "JOY",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.