Active NPI
Kristine M Ver Weire-Haisan, RDH, BSDH, MPH (C)
- Dental Hygienist
- Valley Center, CA
National Provider Identifier
1407424195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 16328
- Practice address
- 50100 Golsh Rd
Valley Center, CA 92082-5338 - Phone
- (769) 803-6894
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 16328 | CA | Primary |
Addresses
Primary practice location
50100 Golsh Rd
Valley Center, CA 92082-5338
Mailing address
1835A S Centre City Pkwy # 256
Escondido, CA 92025-6525
Phone (760) 803-6894
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 |
|---|---|---|---|
| 16328 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1407424195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835A S CENTRE CITY PKWY # 256",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256525",
"telephone_number": "760-803-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50100 GOLSH RD",
"city": "VALLEY CENTER",
"state": "CA",
"postal_code": "920825338",
"telephone_number": "769-803-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VER WEIRE-HAISAN",
"first_name": "KRISTINE",
"middle_name": "M",
"credential": "RDH, BSDH, MPH (C)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "16328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Center, CA
- Valley Center Family Practice Medical Group Inc
- Valley Center Fire Protection District
- Valley Center Optometry Apc
- Valley Center-Pauma Unified School District
- Valley Center-Pauma Unified School District
- Robert Glenn Vertrees, CHIROPRACTOR
- Victoria a Kuhl, PH.D., a Medical Corporation
- Vista Hill Foundation
- Kathryn E Von Zumwalt Tisch
- Fredric William Weissich, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.