Active NPI
Whittney Hagenson, RDH
- Dental Hygienist
- Palm Desert, CA
National Provider Identifier
1366080541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 32688
- Practice address
- 34460 Monterey Ave
Palm Desert, CA 92211-6008 - Phone
- (760) 610-0358
- NPI assigned
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 32688 | CA | Primary |
Addresses
Primary practice location
34460 Monterey Ave
Palm Desert, CA 92211-6008
Mailing address
72336 Foothill Dr
Twentynine Palms, CA 92277-2974
Phone (863) 588-8559
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 |
|---|---|---|---|
| 32688 | CA | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1366080541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72336 FOOTHILL DR",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922772974",
"telephone_number": "863-588-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34460 MONTEREY AVE",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116008",
"telephone_number": "760-610-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGENSON",
"first_name": "WHITTNEY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "32688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.