Individual provider Active NPI

Janny Thomas

  • Dental Hygienist
  • Victorville, CA
National Provider Identifier
1386307304
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP868 Issued in CA
Practice address
14477 Amargosa Rd Ste 5
Victorville, CA 92392-2340
Phone
(760) 490-4397
NPI assigned
Oct 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X HAP868 CA Primary

Addresses

Primary practice location

14477 Amargosa Rd Ste 5
Victorville, CA 92392-2340

Mailing address

11668 Fulton CT
Victorville, CA 92392-0456
Phone (760) 490-4397

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

LicenseStateTypeSpecialty
HAP868CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Janny Thomas, Rdhap CurrentSince Sep 10, 2023 Accepting new patients

Locations

14477 Amargosa Rd
Ste 5
Victorville, CA 92392
Phone (760) 245-5992

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1386307304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11668 FULTON CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923920456",
            "telephone_number": "760-490-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14477 AMARGOSA RD STE 5",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922340",
            "telephone_number": "760-490-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JANNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.