Individual provider Active NPI

Christine Jackson-Bartolomei, RDHAP, BS

  • Advanced Practice Dental Therapist
  • Sacramento, CA
National Provider Identifier
1720470230
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
HAP 561 Issued in CA
Practice address
4806 Darlington LN
Sacramento, CA 95835-2000
Phone
(916) 712-1427
NPI assigned
Feb 21, 2015
Last updated
Feb 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental Therapist 125K00000X HAP 561 CA Primary

Addresses

Primary practice location

4806 Darlington LN
Sacramento, CA 95835-2000

Mailing address

4806 Darlington LN
Sacramento, CA 95835-2000
Phone (916) 712-1427

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
HAP 561CAMDAdvanced Practice Dental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1720470230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 DARLINGTON LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352000",
            "telephone_number": "916-712-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 DARLINGTON LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352000",
            "telephone_number": "916-712-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-BARTOLOMEI",
        "first_name": "CHRISTINE",
        "credential": "RDHAP, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "HAP 561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.