Active NPI
Eden Samson, RDHAP
- Dental Hygienist
- Chula Vista, CA
National Provider Identifier
1427489541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HAP 493
- Practice address
- 2307 Poppy Hills Dr
Chula Vista, CA 91915-2176 - Phone
- (619) 309-5685
- NPI assigned
- Nov 30, 2013
- Last updated
- Dec 1, 2013
- 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 | HAP 493 | CA | Primary |
Addresses
Primary practice location
2307 Poppy Hills Dr
Chula Vista, CA 91915-2176
Mailing address
2307 Poppy Hills Dr
Chula Vista, CA 91915-2176
Phone (619) 309-5685
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 |
|---|---|---|---|
| HAP 493 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385856000000",
"number": "1427489541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 POPPY HILLS DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919152176",
"telephone_number": "619-309-5685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 POPPY HILLS DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919152176",
"telephone_number": "619-309-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "EDEN",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-30",
"last_updated": "2013-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "HAP 493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
- Samantha Polikowski Anesthesia Inc (Orchard Anesthesia)
- Gerardo Samayoa
- Reman Sami, DO
- Nyla Sorme Sammak
- Ahniya Sams
- Samuel Hayatt DMD Inc.
- San Diego Cardiovascular Imaging Services, Inc.
- San Diego Diagnostic Radiology Medical Group, Inc.
- San Diego Diagonstic Radiology Medical Group, Inc.
- San Diego Imaging - Chula Vista LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.