Individual provider Active NPI

Alisha Christian, RDH

  • Dental Hygienist
  • Palm Beach Gardens, FL
National Provider Identifier
1326748302
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH26143 Issued in FL
Practice address
10625 N Military TRL Ste 201
Palm Beach Gardens, FL 33410-6548
Phone
(561) 366-7303
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH070677 PA
Dental Hygienist 124Q00000X DH26143 FL Primary

Addresses

Primary practice location

10625 N Military TRL Ste 201
Palm Beach Gardens, FL 33410-6548

Mailing address

4105 Johnson Dairy Rd Apt 662
Palm Beach Gardens, FL 33410-6739
Phone (917) 239-1563

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
DH26143FLMDDental Hygienist
DH070677PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenlake Management, LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

10625 N Military Trl
Ste 201
Palm Beach Gardens, FL 33410
Phone (561) 366-7303

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326748302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 JOHNSON DAIRY RD APT 662",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106739",
            "telephone_number": "917-239-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL STE 201",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106548",
            "telephone_number": "561-366-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "ALISHA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH070677",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH26143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.