Individual provider Active NPI

Christi Lynn Igna, DDS

  • Dentist
  • Hermosa Beach, CA
National Provider Identifier
1689874075
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44704 Issued in CA
Practice address
1005 Hermosa Ave
Hermosa Beach, CA 90254-3717
Phone
(310) 372-2853
Fax
(310) 372-9373
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44704 CA Primary

Addresses

Primary practice location

1005 Hermosa Ave
Hermosa Beach, CA 90254-3717

Mailing address

1005 Hermosa Ave
Hermosa Beach, CA 90254-3717
Phone (310) 372-2853

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
44704CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1689874075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HERMOSA AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543717",
            "telephone_number": "310-372-2853",
            "fax_number": "310-372-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HERMOSA AVE",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543717",
            "telephone_number": "310-372-2853",
            "fax_number": "310-372-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNA",
        "first_name": "CHRISTI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.