Roan Flores Espino

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP831 Issued in CA

Practice address

15956 E 14TH St Apt 107
San Leandro, CA 94578-3047

Phone

(415) 942-5661

NPI assigned

Aug 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1659046126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15956 E 14TH ST APT 107",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783047",
            "telephone_number": "415-342-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15956 E 14TH ST APT 107",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783047",
            "telephone_number": "415-942-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINO",
        "first_name": "ROAN",
        "middle_name": "FLORES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "roanespino.rdh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15956 E 14th St Apt 107",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945783047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacquelin Escobar
• Amanda Marie Escobedo
• Stephanie Esparza
• Edward Esperante
• Jennifer Nichole Espino, LMFT
• Alejandra Espinoza
• Alicia Marie Espiritusanto
• Erykah Espy
• Jacqueline Esquer
• Fatima Esquivel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.