Active NPI
Diane C Betz, DENTAL HYGIENIST
- Dental Hygienist
- Robins AFB, GA
National Provider Identifier
1447272596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH001891
- Practice address
- 655 7TH St
78TH MDG/SGHC
Robins AFB, GA 31098-2227 - Phone
- (478) 327-8487
- Fax
- (478) 327-8313
- NPI assigned
- Jul 24, 2006
- 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 | DH001891 | GA | Primary |
Addresses
Primary practice location
655 7TH St
78TH MDG/SGHC
Robins AFB, GA 31098-2227
Mailing address
296 Greentree Pkwy
Macon, GA 31220-3636
Phone (478) 327-8487
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 |
|---|---|---|---|
| DH001891 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447272596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 GREENTREE PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312203636",
"telephone_number": "478-327-8487",
"fax_number": "478-327-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST",
"address_2": "78TH MDG/SGHC",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8487",
"fax_number": "478-327-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETZ",
"first_name": "DIANE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH001891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robins AFB, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.