Individual provider Active NPI

Diane Kathleen Brown, RDHAP

  • Dental Hygienist
  • San Diego, CA
National Provider Identifier
1295765147
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDHAP96 Issued in CA
Practice address
3033 Adams Ave
Unit 6
San Diego, CA 92116-1504
Phone
(619) 823-4616
Fax
(619) 584-4257
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDHAP96 CA Primary

Addresses

Primary practice location

3033 Adams Ave
Unit 6
San Diego, CA 92116-1504

Mailing address

3033 Adams Ave
Unit #6
San Diego, CA 92116-1504
Phone (619) 823-4616

Other practice location 1

6136 Mission Gorge Rd
#119
San Diego, CA 92120-3494
Phone (619) 584-4614

Other identifiers 3

IdentifierTypeStateIssuer
H00096-01MedicaidCA
H0009601OtherCADENTICAL
1295765147MedicaidCA

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

LicenseStateTypeSpecialty
RDHAP96CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Diane K. Brown Rdhap Inc. Dental Hygienist CurrentSince Mar 27, 2022 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1295765147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 ADAMS AVE",
            "address_2": "UNIT #6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161504",
            "telephone_number": "619-823-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 ADAMS AVE",
            "address_2": "UNIT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161504",
            "telephone_number": "619-823-4616",
            "fax_number": "619-584-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6136 Mission Gorge Rd",
            "address_2": "#119",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921203494",
            "country_code": "US",
            "telephone_number": "619-584-4614",
            "fax_number": "619-584-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DIANE",
        "middle_name": "KATHLEEN",
        "credential": "RDHAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H00096-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "H0009601",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295765147",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.