Andrea Hickson-Moore, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

024517 Issued in NY

Practice address

361 Maple St
9B
Brooklyn, NY 11225-5134

Phone

(347) 787-2259

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Andrea Hickson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1730506924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 MAPLE ST",
            "address_2": "9B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255134",
            "telephone_number": "347-787-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MAPLE ST",
            "address_2": "9B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255134",
            "telephone_number": "347-787-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON-MOORE",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "024517",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "001958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HICKSON",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim Hicks
• Latonya Hicks
• Lenwood L Hicks
• Shateea Martha Hicks
• Sigma Hicks
• Yehudis C Hickson
• Claris E. Hidalgo, M.D.
• Helenmarie Hidalgo
• Jennifer Hidalgo
• Jhawethia Hidalgo

• Dental Hygienist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.