Active NPI
Jennifer Weitzel, RDHAP
- Dental Hygienist
- Riverside, CA
National Provider Identifier
1356718217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 577
- Practice address
- 7611 Lippizan Dr
Riverside, CA 92509-5326 - Phone
- (951) 660-7019
- Fax
- (951) 332-0186
- NPI assigned
- Aug 26, 2015
- Last updated
- Aug 26, 2015
- 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 | 577 | CA | Primary |
Addresses
Primary practice location
7611 Lippizan Dr
Riverside, CA 92509-5326
Mailing address
7611 Lippizan Dr
Riverside, CA 92509-5326
Phone (951) 660-7019
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 |
|---|---|---|---|
| 577 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1356718217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 LIPPIZAN DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925095326",
"telephone_number": "951-660-7019",
"fax_number": "951-332-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 LIPPIZAN DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925095326",
"telephone_number": "951-660-7019",
"fax_number": "951-332-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZEL",
"first_name": "JENNIFER",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
- Scott Weigold, MD
- Karl E Weingarten, MD
- Tawny Marie Weir, LMFT
- Christina Lee Weiseman
- Torrie Stella Weisert, LVN
- Welbehealth Inland Empire Pace, LLC (WelbeHealth)
- Deborah Justine Welcome, OTR/L
- Wellcare Healthcare Pharmacy Inc (Icaremore Pharmacy)
- Wellcare Healthcare Pharmacy Inc (ICaremore Pharmacy)
- Kayla Weller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.