Jessica Marie McGuire, RDH, 33373

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

33373 Issued in CA

Practice address

100 Blackbrook Way
Ben Lomond, CA 95005-9401

Phone

(707) 301-6892

NPI assigned

May 18, 2021

Last updated

May 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1407420979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLACKBROOK WAY",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059401",
            "telephone_number": "707-301-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLACKBROOK WAY",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059401",
            "telephone_number": "707-301-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "RDH, 33373",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "33373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcguire735@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Blackbrook Way",
            "city": "Ben Lomond",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950059401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hadley Marie Long
• Rose Helene Lovell
• Stephen Maurer
• Julia Eve McDowell
• Mary Catherine McFadden, LCSW
• Kirstyn Morales
• Christopher Barry Morris, B.A.
• Pamela Neimeth, MSW
• Daniel Neudorf, D.O.
• Claudia Nieto

• Public Health Dentistry in Ben Lomond, CA
• Providers in Ben Lomond, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.