Active NPI
Jessica L Mullins, RDH
- Dental Hygienist
- Lamont, CA
National Provider Identifier
1346082310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 32885
- Practice address
- 14017 Main St
Lamont, CA 93241 - Phone
- (661) 845-5100
- NPI assigned
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 32885 | CA | Primary |
Addresses
Primary practice location
14017 Main St
Lamont, CA 93241
Mailing address
9600 Cobble Creek Dr
Shafter, CA 93263-2261
Phone (661) 805-2756
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 |
|---|---|---|---|
| 32885 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1346082310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 COBBLE CREEK DR",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932632261",
"telephone_number": "661-805-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14017 MAIN ST",
"city": "LAMONT",
"state": "CA",
"postal_code": "93241",
"telephone_number": "661-845-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "32885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lamont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.