Active NPI
James G Paige, RDH
- Dental Hygienist
- Redway, CA
National Provider Identifier
1780916429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8459
- Practice address
- 101 Westcoast Rd
Redway, CA 95560-0769 - Phone
- (707) 923-2783
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- 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 | 8459 | CA | Primary |
Addresses
Primary practice location
101 Westcoast Rd
Redway, CA 95560-0769
Mailing address
2012 Clydesdale Way
Petaluma, CA 94954-4630
Phone (707) 769-0646
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1780916429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 CLYDESDALE WAY",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949544630",
"telephone_number": "707-769-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WESTCOAST RD",
"city": "REDWAY",
"state": "CA",
"postal_code": "955600769",
"telephone_number": "707-923-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "8459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.