Elizabeth Helena Robertson, RDH, RDA

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

26846 Issued in CA

Practice address

210 San Mateo Rd
104
Half Moon Bay, CA 94019-7111

Phone

(650) 727-3480

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Elizabeth Helena Innes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sonrisas Dental Health, Inc

  dba Apple Tree Dental, Sonrisas Center

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1447477591
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1639552730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SAN MATEO RD",
            "address_2": "104",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SAN MATEO RD",
            "address_2": "104",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197111",
            "telephone_number": "650-727-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ELIZABETH",
        "middle_name": "HELENA",
        "name_prefix": "Mrs.",
        "credential": "RDH, RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "26846",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "72301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "INNES",
            "middle_name": "HELENA",
            "prefix": "MISS",
            "credential": "RDH, RDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Purisima Family Medicine, Inc.
• Damaris Andrews Pyle, LMFT
• Charles Frederick Quest Jr., MD
• Melvin Jay Rabeck, PH.D.
• Hana Renor, C.F.N.P.
• Alvaro H Rodriguez, M.D.
• Rene Roman I
• Torrey Rothstein
• Adriana Margarita Ruano, LMFT
• Sarah Rubin, M.A., M.F.T.

• Dental Hygienist in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.