Active NPI
Auhilda Lizardo, RDH
- Dental Hygienist
- Roxbury, MA
National Provider Identifier
1740793496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH13764
- Practice address
- 1290 Tremont St
Roxbury, MA 02120-3432 - Phone
- (617) 427-1000
- NPI assigned
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH13764 | MA | Primary |
Addresses
Primary practice location
1290 Tremont St
Roxbury, MA 02120-3432
Mailing address
911 Broadway Apt 1
Chelsea, MA 02150-2212
Phone (617) 833-9236
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH13764 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1740793496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 BROADWAY APT 1",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502212",
"telephone_number": "617-833-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 TREMONT ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021203432",
"telephone_number": "617-427-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZARDO",
"first_name": "AUHILDA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DH13764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.