Active NPI
Carol Taylor Rose, RDH
- Dental Hygienist
- Pinole, CA
National Provider Identifier
1467661827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1946
- Practice address
- 2150 Appian Way Ste 208
Pinole, CA 94564-2520 - Phone
- (510) 741-7100
- NPI assigned
- May 22, 2007
- 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 | 1946 | CA | Primary |
Addresses
Primary practice location
2150 Appian Way Ste 208
Pinole, CA 94564-2520
Mailing address
53C Appian Way
South San Francisco, CA 94080-5538
Phone (650) 583-8492
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 |
|---|---|---|---|
| 1946 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiyo Shidara D.D.S., Apc | 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.
-
- General Practice Dentistry
- Pinole, CA
- NPI 1568821635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467661827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53C APPIAN WAY",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805538",
"telephone_number": "650-583-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 APPIAN WAY STE 208",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642520",
"telephone_number": "510-741-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CAROL",
"middle_name": "TAYLOR",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "1946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
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.