Individual provider Active NPI

Corina Haro, RDH

  • Dental Hygienist
  • Monterey, CA
National Provider Identifier
1669918736
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH30696 Issued in CA
Practice address
423 Corporal Evans Rd
Monterey, CA 93944-3403
Phone
(831) 242-5612
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH30696 CA Primary
Dental Hygienist 124Q00000X 13151 TX
Dental Hygienist 124Q00000X DH2932 NM

Addresses

Primary practice location

423 Corporal Evans Rd
Monterey, CA 93944-3403

Mailing address

423 Corporal Evans Rd
Pom Dental Clinic
Monterey, CA 93944-3403
Phone (831) 242-5612

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

LicenseStateTypeSpecialty
RDH30696CAMDDental Hygienist
DH2932NMMDDental Hygienist
13151TXMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1669918736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CORPORAL EVANS RD",
            "address_2": "POM DENTAL CLINIC",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443403",
            "telephone_number": "831-242-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CORPORAL EVANS RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939443403",
            "telephone_number": "831-242-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARO",
        "first_name": "CORINA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH30696",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "13151",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH2932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.