Active NPI
Tammi Lynn Aceres, RDH
- Dental Hygienist
- San Bernardino, CA
National Provider Identifier
1609096445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 14309
- Practice address
- 1455 E 3Rd St
San Bernardino, CA 92408 - Phone
- (909) 382-7120
- NPI assigned
- Apr 26, 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 | 14309 | CA | Primary |
Addresses
Primary practice location
1455 E 3Rd St
San Bernardino, CA 92408
Mailing address
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14309 | Other | CA | STATE LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609096445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 E 2ND ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924080118",
"telephone_number": "909-382-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 E 3RD ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-382-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACERES",
"first_name": "TAMMI",
"middle_name": "LYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "14309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "14309",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
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.