Peggy Harris Hyden

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH535 Issued in NM

Practice address

1104 N Shore Dr
Carlsbad, NM 88220-4638

Phone

(575) 302-6677

NPI assigned

Oct 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Peggy Harris Harris Former name

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.

• Smart Smiles Dental Care LLC

  • Dental Hygienist
  • Carlsbad, NM
  • NPI 1831447093
  NPD (past) Authorized official

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1497007918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N SHORE DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204638",
            "telephone_number": "575-302-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N SHORE DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204638",
            "telephone_number": "575-302-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDEN",
        "first_name": "PEGGY",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "HARRIS",
            "middle_name": "HARRIS",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark A K Howard, M.D.
• Brooke Ainsley Huffsmith, MD
• Karen L. Hulse
• Emma Delmar Humphrey, LMSW
• Paula Rae Hunt
• Cali Ingram
• Dawn Ingram
• Shannon E Ingram, LMSW
• Tammy D Ingram
• Island Medical Hospitalist Carlsbad LLC

• Dental Hygienist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.