Active NPI
Dina Eide Gillette, RDH
- Dental Hygienist
- Auburn, CA
National Provider Identifier
1477370724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 11229
- Practice address
- 11670 Atwood Rd
Auburn, CA 95603-9522 - Phone
- (530) 887-2800
- Fax
- (530) 889-8169
- NPI assigned
- Sep 26, 2024
- 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 | 11229 | CA | Primary |
Addresses
Primary practice location
11670 Atwood Rd
Auburn, CA 95603-9522
Mailing address
PO Box 7696
Auburn, CA 95604-7696
Phone (530) 613-1446
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 |
|---|---|---|---|
| 11229 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1477370724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7696",
"city": "AUBURN",
"state": "CA",
"postal_code": "956047696",
"telephone_number": "530-613-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 ATWOOD RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039522",
"telephone_number": "530-887-2800",
"fax_number": "530-889-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "DINA",
"middle_name": "EIDE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "11229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.