Active NPI
Dorinda Daryl Ball, RDH, BSDH
- Dental Hygienist
- Peach Springs, AZ
National Provider Identifier
1558413997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2003011314
- Practice address
- 943 Hualapai Way
Peach Springs, AZ 86434 - Phone
- (928) 769-2903
- Fax
- (928) 769-2946
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2003011314 | MO | Primary |
Addresses
Primary practice location
943 Hualapai Way
Peach Springs, AZ 86434
Mailing address
3064 Amanda Cir
Kingman, AZ 86401-5335
Phone (928) 377-3690
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 |
|---|---|---|---|
| 2003011314 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558413997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 AMANDA CIR",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864015335",
"telephone_number": "928-377-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 HUALAPAI WAY",
"city": "PEACH SPRINGS",
"state": "AZ",
"postal_code": "86434",
"telephone_number": "928-769-2903",
"fax_number": "928-769-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "DORINDA",
"middle_name": "DARYL",
"credential": "RDH, BSDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2003011314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peach Springs, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.