Christal Renee Irby, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

21357 Issued in CA

Practice address

5700 Broadway
Oakland, CA 94618-1523

Phone

(510) 652-1517

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Lindsey Koida, DDS, Inc

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1497298657
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1457997694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17385 VIA EL CERRITO",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945803554",
            "telephone_number": "510-460-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181523",
            "telephone_number": "510-652-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052208",
            "country_code": "US",
            "telephone_number": "510-548-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "CHRISTAL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "21357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Ippoliti, NP
• Razia Iqbal
• Vaseem Iqbal, MD
• Cristina Iraheta
• Daniel De Jesus Iraheta, EMT
• Michelle Iriarte
• Dominic Irigoyen
• Amara Catherine Irizarry
• Gabriela Iroz-Nnanta
• Karessa Irvin

• Dental Hygienist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.