Patricia M Pine, RDH,OM

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H4381 Issued in AZ

Practice address

16422 E Crystal Ridge Dr
Fountain Hills, AZ 85268-8415

Phone

(847) 207-7463

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1336580919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16422 E CRYSTAL RIDGE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688415",
            "telephone_number": "847-207-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16422 E CRYSTAL RIDGE DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688415",
            "telephone_number": "847-207-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RDH,OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H4381",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020-004876",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "6743-016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Phelps
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• Kara Picciolo, M.S., CCC-SLP
• Virginia Pierce
• Araceli Pina-Zelinger, SLP
• Tyler Scott Pirilla, PHARMD
• Plaza Waterfront Dental
• Arthur John Porter, D.M.D.
• David L Potter, PHARMD
• Rachel Hope Potter

• Dental Hygienist in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.