Active NPI
Tracy A Goldman, RDH, RDHAP
- Dental Hygienist
- Huntington Beach, CA
National Provider Identifier
1750878401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 685
- Practice address
- 8531 Judy Cir
Huntington Beach, CA 92647-5031 - Phone
- (714) 698-9920
- Fax
- (855) 543-0098
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 685 | CA | Primary |
Addresses
Primary practice location
8531 Judy Cir
Huntington Beach, CA 92647-5031
Mailing address
8531 Judy Cir
Huntington Beach, CA 92647-5031
Phone (714) 989-9206
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 |
|---|---|---|---|
| 685 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1750878401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8531 JUDY CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926475031",
"telephone_number": "714-989-9206",
"fax_number": "855-543-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8531 JUDY CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926475031",
"telephone_number": "714-698-9920",
"fax_number": "855-543-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "TRACY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RDH, RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "CA",
"license": "685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.