Active NPI
Kara Ashley Busell
- Dental Assistant
- Menifee, CA
National Provider Identifier
1255828208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- RDA88355
- Practice address
- 30035 Haun Rd
Menifee, CA 92584-6805 - Phone
- (951) 225-3324
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 Assistant | 126800000X | RDA88355 | CA | Primary |
Addresses
Primary practice location
30035 Haun Rd
Menifee, CA 92584-6805
Mailing address
25940 Alamo CT
Menifee, CA 92584-2618
Phone (951) 355-5318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RDA88355 | Medicaid | CA |
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 |
|---|---|---|---|
| RDA88355 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1255828208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25940 ALAMO CT",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925842618",
"telephone_number": "951-355-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30035 HAUN RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846805",
"telephone_number": "951-225-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSELL",
"first_name": "KARA",
"middle_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "RDA88355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RDA88355",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.