Active NPI
Carly (Carol) Schneider, RDH; COM
- Dental Hygienist
- Mill Valley, CA
National Provider Identifier
1255790580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10169
- Practice address
- 147 Lomita Dr
Suit D
Mill Valley, CA 94941-1451 - Phone
- (415) 888-8691
- Fax
- (415) 888-8691
- NPI assigned
- Feb 15, 2016
- Last updated
- Feb 15, 2016
- 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 | 10169 | CA | Primary |
Addresses
Primary practice location
147 Lomita Dr
Suit D
Mill Valley, CA 94941-1451
Mailing address
147 Lomita Drive
Suit D
Mill Valley, CA 94941
Phone (415) 888-8691
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": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1255790580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 LOMITA DRIVE",
"address_2": "SUIT D",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "94941",
"telephone_number": "415-888-8691",
"fax_number": "415-888-8691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 LOMITA DR",
"address_2": "SUIT D",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949411451",
"telephone_number": "415-888-8691",
"fax_number": "415-888-8691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "CARLY (CAROL)",
"credential": "RDH; COM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "10169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.