Active NPI
Vicki Jo Harris, RDHAP
- Dental Hygienist
- Alameda, CA
National Provider Identifier
1447313713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDHAP44
- Practice address
- 3016 San Jose Ave
Alameda, CA 94501-4834 - Phone
- (510) 227-5804
- Fax
- (510) 227-5804
- NPI assigned
- Dec 18, 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 | RDHAP44 | CA | Primary |
Addresses
Primary practice location
3016 San Jose Ave
Alameda, CA 94501-4834
Mailing address
1271 Washington Ave
810
San Leandro, CA 94577-3646
Phone (510) 227-5804
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 |
|---|---|---|---|
| RDHAP44 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Mobile Smiles | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Hygienist
- Alameda, CA
- NPI 1902007826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1447313713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1271 WASHINGTON AVE",
"address_2": "810",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773646",
"telephone_number": "510-227-5804",
"fax_number": "510-227-5804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 SAN JOSE AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014834",
"telephone_number": "510-227-5804",
"fax_number": "510-227-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "VICKI",
"middle_name": "JO",
"credential": "RDHAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDHAP44",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.