Active NPI
Nakesha Munson, RDA
- Dental Assistant
- Perris, CA
National Provider Identifier
1265991756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- RDA90239
- Practice address
- 3150 Case Rd BLDG C
Perris, CA 92570-5552 - Phone
- (951) 345-4386
- NPI assigned
- Mar 14, 2019
- 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 | RDA90239 | CA | Primary |
Addresses
Primary practice location
3150 Case Rd BLDG C
Perris, CA 92570-5552
Mailing address
712 Ashley St
Hemet, CA 92545-4743
Phone (951) 201-1241
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 |
|---|---|---|---|
| RDA90239 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercer and Pham Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Crossing Dental Group and Orthodontics
- General Practice Dentistry
- Perris, CA
- NPI 1528249281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1265991756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 ASHLEY ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925454743",
"telephone_number": "951-201-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 CASE RD BLDG C",
"city": "PERRIS",
"state": "CA",
"postal_code": "925705552",
"telephone_number": "951-345-4386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "NAKESHA",
"name_prefix": "Mrs.",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "RDA90239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.