Active NPI
Leticia Ontiveros, RDH
- Dental Hygienist
- Scottsdale, AZ
National Provider Identifier
1255680641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7461
- Practice address
- 3030 N 67TH PL
Scottsdale, AZ 85251-6082 - Phone
- (480) 946-0473
- NPI assigned
- Aug 31, 2012
- 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 | 7461 | AZ | Primary |
Addresses
Primary practice location
3030 N 67TH PL
Scottsdale, AZ 85251-6082
Mailing address
49302 W Mayer Blvd
Maricopa, AZ 85139-5220
Phone (520) 709-9908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11150712LO | Other | AZ | NPI |
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 |
|---|---|---|---|
| 7461 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1255680641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49302 W MAYER BLVD",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851395220",
"telephone_number": "520-709-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N 67TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516082",
"telephone_number": "480-946-0473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONTIVEROS",
"first_name": "LETICIA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "7461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "11150712LO",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.