Active NPI
Adrine Reganian, RDHAP
- Dental Hygienist
- Glendale, CA
National Provider Identifier
1659704385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 472
- Practice address
- 1133 Justin Ave
119
Glendale, CA 91201-1801 - Phone
- (818) 239-2259
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 472 | CA | Primary |
Addresses
Primary practice location
1133 Justin Ave
119
Glendale, CA 91201-1801
Mailing address
1133 Justin Ave
119
Glendale, CA 91201-1801
Phone (818) 239-2259
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 |
|---|---|---|---|
| 472 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1659704385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 JUSTIN AVE",
"address_2": "119",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011801",
"telephone_number": "818-239-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 JUSTIN AVE",
"address_2": "119",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011801",
"telephone_number": "818-239-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGANIAN",
"first_name": "ADRINE",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.