Active NPI
Renee Alene Lawson, RDH
- Dental Hygienist
- San Diego, CA
National Provider Identifier
1396084133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8689
- Practice address
- 4910 Directors PL
Suite 300
San Diego, CA 92121-3811 - Phone
- (858) 768-2956
- Fax
- (858) 768-0510
- NPI assigned
- Feb 13, 2013
- 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 | 8689 | CA | Primary |
Addresses
Primary practice location
4910 Directors PL
Suite 300
San Diego, CA 92121-3811
Mailing address
248 Gloxina St
Encinitas, CA 92024-3321
Phone (760) 696-6243
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 |
|---|---|---|---|
| 8689 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1396084133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 GLOXINA ST",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920243321",
"telephone_number": "760-696-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 DIRECTORS PL",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213811",
"telephone_number": "858-768-2956",
"fax_number": "858-768-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "RENEE",
"middle_name": "ALENE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "8689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.