Individual provider Active NPI

Bridget Elaine Tinsley, D.D.S.

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1508153198
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61878 Issued in CA
Practice address
178 S. Ventura Ave.
Ventura, CA 93003-4369
Phone
(805) 658-0700
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61878 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

178 S. Ventura Ave.
Ventura, CA 93003-4369

Mailing address

20000 Plum Canyon Rd
Unit 1627
Santa Clarita, CA 91350-2401
Phone (810) 241-8674

Other names 1

  • Dr. Bridget Elaine Maclin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
61878CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1508153198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 PLUM CANYON RD",
            "address_2": "UNIT 1627",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502401",
            "telephone_number": "810-241-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 S. VENTURA AVE.",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034369",
            "telephone_number": "805-658-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "BRIDGET",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61878",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "MACLIN",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.