Active NPI
Erica Lynn Jones Hindbaugh, DDS
- Dentist
- Arcata, CA
National Provider Identifier
1700219128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54573
- Practice address
- 4602 Valley West Blvd
Arcata, CA 95521-4636 - Phone
- (707) 822-4689
- Fax
- (707) 822-1400
- NPI assigned
- Aug 21, 2013
- Last updated
- Aug 21, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 54573 | CA | Primary |
Addresses
Primary practice location
4602 Valley West Blvd
Arcata, CA 95521-4636
Mailing address
4602 Valley West Blvd
Arcata, CA 95521-4636
Phone (707) 822-4689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160811001469 | CA | Order and Referring Only - Other (Non-Physician) | 7618261744 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1700219128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 VALLEY WEST BLVD",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214636",
"telephone_number": "707-822-4689",
"fax_number": "707-822-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 VALLEY WEST BLVD",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214636",
"telephone_number": "707-822-4689",
"fax_number": "707-822-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES HINDBAUGH",
"first_name": "ERICA",
"middle_name": "LYNN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.