Active NPI
Maya Anne Whearty, RDH;RDHAP
- Dental Hygienist
- Greenbrae, CA
National Provider Identifier
1770039125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 632
- Practice address
- 1321 S Eliseo Dr
Dr. Wright Suite
Greenbrae, CA 94904-2024 - Phone
- (415) 652-1677
- NPI assigned
- Aug 26, 2016
- 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 | 632 | CA | Primary |
Addresses
Primary practice location
1321 S Eliseo Dr
Dr. Wright Suite
Greenbrae, CA 94904-2024
Mailing address
405 Serrano Dr
Apt 1a
San Francisco, CA 94132-2276
Phone (415) 652-1677
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 |
|---|---|---|---|
| 632 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1770039125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 SERRANO DR",
"address_2": "APT 1A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941322276",
"telephone_number": "415-652-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 S ELISEO DR",
"address_2": "DR. WRIGHT SUITE",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949042024",
"telephone_number": "415-652-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEARTY",
"first_name": "MAYA",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "RDH;RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.