Individual provider Active NPI

Orietta M. Barrera, DENTAL HYGIENIST

  • Dental Hygienist
  • Temecula, CA
National Provider Identifier
1780740753
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP39 Issued in CA
Practice address
40330 Camino Campos Verde
Temecula, CA 92591-6170
Phone
(951) 541-1206
Fax
(951) 587-6138
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 HAP39 CA Primary

Addresses

Primary practice location

40330 Camino Campos Verde
Temecula, CA 92591-6170

Mailing address

40330 Camino Campos Verde
Temecula, CA 92591-6170
Phone (951) 541-1206

Other identifiers 1

IdentifierTypeStateIssuer
H00039-01OtherCAMEDI-CAL DENTAL PROGRAM

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
HAP39CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles to You, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1780740753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40330 CAMINO CAMPOS VERDE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916170",
            "telephone_number": "951-541-1206",
            "fax_number": "951-587-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40330 CAMINO CAMPOS VERDE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916170",
            "telephone_number": "951-541-1206",
            "fax_number": "951-587-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "ORIETTA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL  DENTAL PROGRAM",
            "identifier": "H00039-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.