Judy Ann Mann, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

#59 Issued in CA

Practice address

3074 Burgan Ave
Clovis, CA 93611-5231

Phone

(559) 292-2762

Fax

(559) 292-2762

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467661249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 BURGAN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115231",
            "telephone_number": "559-292-2762",
            "fax_number": "559-292-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 BURGAN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115231",
            "telephone_number": "559-292-2762",
            "fax_number": "559-292-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "#59",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "17916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH LICENSE",
            "identifier": "17916",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI- CAL",
            "identifier": "H-0005901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandala Psychology Inc
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• Lendel Maniquiz, PT, CWS
• Melissa Hermoza Manlimos
• Amitasha Mann, M.D.
• Savera Mann
• Dandel Jason Gaviola Maranan
• Rainelda Palongpalong Maraon
• Marian Homes Inc.
• Mark Godiksen (Office of Mark V. Godiksen)

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

• 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.

Verify at the official NPI Registry.