NPIMap

Organization Active NPI

Brite Smiles of California

  • Dental Hygienist
  • Palm Desert, CA
National Provider Identifier
1386208197
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
BRITE SMILES OF CALIFORNIA
Practice address
152 Via San Nicolo
Palm Desert, CA 92260-1803
Phone
(760) 625-3708
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Betty Anna Gidlof, RDHAPNPI 1083959399
Title
Mobile Dental Hygienist
Phone
(760) 625-3708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

152 Via San Nicolo
Palm Desert, CA 92260-1803

Mailing address

152 Via San Nicolo
Palm Desert, CA 92260-1803
Phone (760) 625-3708

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1386208197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 VIA SAN NICOLO",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601803",
            "telephone_number": "760-625-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 VIA SAN NICOLO",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601803",
            "telephone_number": "760-625-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITE SMILES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "GIDLOF",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "MOBILE DENTAL HYGIENIST",
        "authorized_official_telephone_number": "760-625-3708",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "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 Apr 26, 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.

Verify at the official NPI Registry.