Active NPI
Lynda H Busdosh, RDH
- Dental Hygienist
- Fort Irwin, CA
National Provider Identifier
1427392232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH 14692
- Practice address
- BLDG 171, 4TH and Inner Loop Rd
Fort Irwin Dental Clinic Command
Fort Irwin, CA 92310-5076 - Phone
- (760) 380-4990
- Fax
- (760) 380-4996
- NPI assigned
- Nov 16, 2012
- 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 | RDH 14692 | CA | Primary |
Addresses
Primary practice location
BLDG 171, 4TH and Inner Loop Rd
Fort Irwin Dental Clinic Command
Fort Irwin, CA 92310-5076
Mailing address
1631 Wetzel Avenue, BLDG 815
US Army Dental Activity, Attn: Fran Gernert
Fort Carson, CO 80913
Phone (719) 526-5537
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 |
|---|---|---|---|
| RDH 14692 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1427392232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 WETZEL AVENUE, BLDG 815",
"address_2": "US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5537",
"fax_number": "719-524-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 171, 4TH AND INNER LOOP RD",
"address_2": "FORT IRWIN DENTAL CLINIC COMMAND",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "923105076",
"telephone_number": "760-380-4990",
"fax_number": "760-380-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSDOSH",
"first_name": "LYNDA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH 14692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.