Active NPI
Maria Werner, RDH
- Dental Hygienist
- Watsonville, CA
National Provider Identifier
1295240331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 25377
- Practice address
- 45 Neilson St
Watsonville, CA 95076-2468 - Phone
- (831) 728-8250
- Fax
- (831) 707-2777
- NPI assigned
- Dec 12, 2017
- 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 | 25377 | CA | Primary |
Addresses
Primary practice location
45 Neilson St
Watsonville, CA 95076-2468
Mailing address
45 Neilson St Attn: Dental Dept.
Watsonville, CA 95076-2468
Phone (831) 728-8250
Other names 1
- Maria Tejeda
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 |
|---|---|---|---|
| 25377 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1295240331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NEILSON ST ATTN: DENTAL DEPT.",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762468",
"telephone_number": "831-728-8250",
"fax_number": "831-707-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NEILSON ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762468",
"telephone_number": "831-728-8250",
"fax_number": "831-707-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MARIA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "25377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "TEJEDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.