Individual provider Active NPI

Jennifer Weeston, RDHAP

  • Dental Hygienist
  • San Diego, CA
National Provider Identifier
1750806048
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
666 Issued in CA
Practice address
18889 Bernardo Trails Dr
San Diego, CA 92128-1151
Phone
(760) 681-9364
NPI assigned
Aug 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 666 CA Primary

Addresses

Primary practice location

18889 Bernardo Trails Dr
San Diego, CA 92128-1151

Mailing address

18889 Bernardo Trails Dr
San Diego, CA 92128-1151
Phone (760) 681-9364

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

LicenseStateTypeSpecialty
666CAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750806048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18889 BERNARDO TRAILS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281151",
            "telephone_number": "760-681-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18889 BERNARDO TRAILS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281151",
            "telephone_number": "760-681-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESTON",
        "first_name": "JENNIFER",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.