Active NPI
Raimey Dunham, RDH, BSDH
- Dental Hygienist
- Fresno, CA
National Provider Identifier
1366752545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 23145
- Practice address
- 2756 S. Elm Ave
Fresno, CA 93706-5435 - Phone
- (559) 457-5800
- NPI assigned
- Oct 20, 2010
- Last updated
- Oct 29, 2010
- 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 | 23145 | CA | Primary |
Addresses
Primary practice location
2756 S. Elm Ave
Fresno, CA 93706-5435
Mailing address
3602 W San Jose Ave Apt 229
Fresno, CA 93711-6691
Phone (209) 662-0179
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 |
|---|---|---|---|
| 23145 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1366752545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 W SAN JOSE AVE APT 229",
"city": "FRESNO",
"state": "CA",
"postal_code": "937116691",
"telephone_number": "209-662-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2756 S. ELM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937065435",
"telephone_number": "559-457-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "RAIMEY",
"credential": "RDH, BSDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "23145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.