Individual provider Active NPI

Kristine Parungao, R.D.H.

  • Dental Hygienist
  • Marina del Rey, CA
National Provider Identifier
1740692847
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
27462 Issued in CA
Practice address
13603 Marina Pointe Dr Apt C502
Marina del Rey, CA 90292-9078
Phone
(562) 212-9480
NPI assigned
May 22, 2014
Last updated
May 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 27462 CA Primary

Addresses

Primary practice location

13603 Marina Pointe Dr Apt C502
Marina del Rey, CA 90292-9078

Mailing address

13603 Marina Pointe Dr Apt C502
Marina del Rey, CA 90292-9078

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1740692847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 MARINA POINTE DR APT C502",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13603 MARINA POINTE DR APT C502",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929078",
            "telephone_number": "562-212-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "KRISTINE",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "27462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.