Individual provider Active NPI

Jyotsana Singh, RDHAP

  • Advanced Practice Dental Therapist
  • Concord, CA
National Provider Identifier
1558080994
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
HAP919 Issued in CA
Practice address
5300 Swainsons CT
Mobile Unit
Concord, CA 94521
Phone
(925) 474-4402
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 125K00000X HAP919 CA Primary

Addresses

Primary practice location

5300 Swainsons CT
Mobile Unit
Concord, CA 94521

Mailing address

5300 Swainsons CT
Concord, CA 94521-5516
Phone (925) 474-4402

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

LicenseStateTypeSpecialty
HAP919CAMDAdvanced Practice Dental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1558080994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SWAINSONS CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945215516",
            "telephone_number": "925-474-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SWAINSONS CT",
            "address_2": "MOBILE UNIT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94521",
            "telephone_number": "925-474-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JYOTSANA",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "HAP919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.