Individual provider Active NPI

Roberta G. Lawrence, RDHAP

  • Dental Hygienist
  • Los Alamitos, CA
National Provider Identifier
1316195043
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
216 Issued in CA
Practice address
4232 Green Ave
Los Alamitos, CA 90720-3545
Phone
(562) 430-8244
NPI assigned
Sep 6, 2008
Last updated
Sep 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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 216 CA Primary

Addresses

Primary practice location

4232 Green Ave
Los Alamitos, CA 90720-3545

Mailing address

12340 Seal Beach Blvd
Suite B-317
Seal Beach, CA 90740-2792
Phone (714) 875-1150

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

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220659200000",
    "number": "1316195043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SEAL BEACH BLVD",
            "address_2": "SUITE B-317",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402792",
            "telephone_number": "714-875-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 GREEN AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203545",
            "telephone_number": "562-430-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ROBERTA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; 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.