Krystal Jujuan Hodnett, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH25462 Issued in FL

Practice address

1035 Nider Blvd
Virginia Beach, VA 23459-8701

Phone

(757) 953-8334

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Krystal Jujuan Hardin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1508441163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234598701",
            "telephone_number": "757-953-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234598701",
            "telephone_number": "757-953-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNETT",
        "first_name": "KRYSTAL",
        "middle_name": "JUJUAN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH25462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krystal.j.hodnett.mil@health.mil",
            "affiliation": "N",
            "address_1": "1035 Nider Blvd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234598701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "HARDIN",
            "middle_name": "JUJUAN",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherise Hodges, RN
• Ryan Elizabeth Hodges
• Sabrina Hodges
• Shawnte Hodges
• Jennell M Hodgeson, FNP-S
• Valerie Hoehn, RD
• Hoek Esthetic Family Dentistry, Inc
• Hoek Esthetic Family Dentistry, Inc
• Meredith Hoek, D.D.S.
• Corrine Hoffend

• Dental Hygienist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.