Individual provider Active NPI

Darci Trill, RDHAP

  • Dental Hygienist
  • Castro Valley, CA
National Provider Identifier
1386796936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
56 Issued in CA
Practice address
23158 Canyon Terrace Dr
Castro Valley, CA 94552-5431
Phone
(510) 886-4199
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 56 CA Primary

Addresses

Primary practice location

23158 Canyon Terrace Dr
Castro Valley, CA 94552-5431

Mailing address

23158 Canyon Terrace Dr
Castro Valley, CA 94552-5431
Phone (510) 886-4199

Other identifiers 1

IdentifierTypeStateIssuer
H00056-01OtherCADENTI-CAL PROVIDER NUMBER

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
56CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386796936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23158 CANYON TERRACE DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525431",
            "telephone_number": "510-886-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23158 CANYON TERRACE DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525431",
            "telephone_number": "510-886-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRILL",
        "first_name": "DARCI",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "56",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "H00056-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.