Heidi Anne Davila, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDHAP625 Issued in CA

Practice address

659 Driftwood LN
San Dimas, CA 91773-3614

Phone

(626) 675-9924

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1639520604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 DRIFTWOOD LN",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733614",
            "telephone_number": "626-675-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 DRIFTWOOD LN",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733614",
            "telephone_number": "626-675-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "HEIDI",
        "middle_name": "ANNE",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jean Dagenais
• Naema Dahdoul, OTR/L
• Hanumantharao Damerla, M.D.,
• Nghi Trung Dang, D.O.
• David & Margaret Home, Inc.
• Angela Davis, PHD
• Sarah Michelle Davis
• Steven Earl Davis, D.O.
• Armaine Jeelian De Guzman
• Jonina De Guzman

• Dental Hygienist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.