Tamara L Vollebregt, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDHAP385 Issued in CA

Practice address

1142 S Diamond Bar Blvd # 162
Diamond Bar, CA 91765-2203

Phone

(909) 861-0280

Fax

(909) 861-6951

NPI assigned

Apr 19, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1417214008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 S DIAMOND BAR BLVD # 162",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652203",
            "telephone_number": "909-861-0280",
            "fax_number": "909-861-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 S DIAMOND BAR BLVD # 162",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652203",
            "telephone_number": "909-861-0280",
            "fax_number": "909-861-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLEBREGT",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.