Active NPI
Annika Rose Dunmire
- Dental Hygienist
- Fort Huachuca, AZ
National Provider Identifier
1285083170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H01795
- Practice address
- 2240 Winrow Rd
BLDG 45505
Fort Huachuca, AZ 85613-5080 - Phone
- (520) 533-3147
- NPI assigned
- Jun 10, 2016
- 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 Hygienist | 124Q00000X | H01795 | AZ | Primary |
Addresses
Primary practice location
2240 Winrow Rd
BLDG 45505
Fort Huachuca, AZ 85613-5080
Mailing address
2240 Winrow Rd
BLDG 45005
Fort Huachuca, AZ 85613-5080
Phone (520) 533-3147
Other names 1
- Annika Rose Meristu
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 |
|---|---|---|---|
| H01795 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1285083170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 WINROW RD",
"address_2": "BLDG 45005",
"city": "FORT HUACHUCA",
"state": "AZ",
"postal_code": "856135080",
"telephone_number": "520-533-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 WINROW RD",
"address_2": "BLDG 45505",
"city": "FORT HUACHUCA",
"state": "AZ",
"postal_code": "856135080",
"telephone_number": "520-533-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNMIRE",
"first_name": "ANNIKA",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H01795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIKA",
"last_name": "MERISTU",
"middle_name": "ROSE",
"credential": "R.D.H.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Huachuca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.