Active NPI
Doria Elena Roman, RDH
- Dental Hygienist
- Moreno Valley, CA
National Provider Identifier
1497182315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27297
- Practice address
- 13040 Essen LN
Moreno Valley, CA 92555-6757 - Phone
- (773) 319-7652
- NPI assigned
- Oct 9, 2013
- Last updated
- Oct 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 27297 | CA | Primary |
| Dental Hygienist | 124Q00000X | 020014122 | IL |
Addresses
Primary practice location
13040 Essen LN
Moreno Valley, CA 92555-6757
Mailing address
13040 Essen LN
Moreno Valley, CA 92555-6757
Phone (773) 319-7652
Other names 1
- Doria Elena Nechifor
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 |
|---|---|---|---|
| 020014122 | IL | MD | Dental Hygienist |
| 27297 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1497182315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13040 ESSEN LN",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925556757",
"telephone_number": "773-319-7652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13040 ESSEN LN",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925556757",
"telephone_number": "773-319-7652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "DORIA",
"middle_name": "ELENA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-09",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27297",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020014122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORIA",
"last_name": "NECHIFOR",
"middle_name": "ELENA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.