Active NPI
Merrie Lynne Detoy, RDHAP
- Dental Hygienist
- Sierra Madre, CA
National Provider Identifier
1528351707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 332
- Practice address
- 85 Monterey LN
Sierra Madre, CA 91024-2101 - Phone
- (626) 390-1437
- NPI assigned
- May 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 332 | CA | Primary |
Addresses
Primary practice location
85 Monterey LN
Sierra Madre, CA 91024-2101
Mailing address
1117 Descanso Drive
La Canada, CA 91011
Phone (626) 390-1437
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 |
|---|---|---|---|
| 332 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1528351707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 DESCANSO DRIVE",
"city": "LA CANADA",
"state": "CA",
"postal_code": "91011",
"telephone_number": "626-390-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MONTEREY LN",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242101",
"telephone_number": "626-390-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETOY",
"first_name": "MERRIE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.