Organization Active NPI

Ohana Dental Hygiene Practice

  • Dental Hygienist
  • Garden Grove, CA
National Provider Identifier
1720362015
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP #354 Issued in CA
Legal business name
OHANA DENTAL HYGIENE PRACTICE
Practice address
12562 Dale St Unit 30
Garden Grove, CA 92841-4565
Phone
(714) 638-8709
Fax
(714) 638-8917
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Kimberly Cruz, RDHAPNPI 1891081089
Title
Owner
Phone
(714) 638-8709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X HAP #354 CA Primary

Addresses

Primary practice location

12562 Dale St Unit 30
Garden Grove, CA 92841-4565

Mailing address

9877 Chapman Ave
Ste. D #413
Garden Grove, CA 92841
Phone (714) 638-8709

National Provider Directory

National Provider Directory

Locations

9877 Chapman Ave
Ste D
Garden Grove, CA 92841
Phone (562) 281-5628

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1720362015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9877 CHAPMAN AVE",
            "address_2": "STE. D #413",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92841",
            "telephone_number": "714-638-8709",
            "fax_number": "714-638-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12562 DALE ST UNIT 30",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414565",
            "telephone_number": "714-638-8709",
            "fax_number": "714-638-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA DENTAL HYGIENE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-638-8709",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP #354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.