Active NPI
Tina Marie Floyd, RDHAP
- Dental Hygienist
- Kingsburg, CA
National Provider Identifier
1689092116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 522
- Practice address
- 968 Sierra St
Box 157
Kingsburg, CA 93631-1554 - Phone
- (559) 250-3969
- Fax
- (559) 897-5201
- NPI assigned
- Apr 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22464 | CA | |
| Dental Hygienist | 124Q00000X | 522 | CA | Primary |
Addresses
Primary practice location
968 Sierra St
Box 157
Kingsburg, CA 93631-1554
Mailing address
968 Sierra St
Box 157
Kingsburg, CA 93631-1554
Phone (559) 250-3969
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 |
|---|---|---|---|
| 22464 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1689092116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 SIERRA ST",
"address_2": "BOX 157",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311554",
"telephone_number": "559-250-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 SIERRA ST",
"address_2": "BOX 157",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311554",
"telephone_number": "559-250-3969",
"fax_number": "559-897-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "22464",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.