Active NPI
Harmeet Kaur
- Dental Hygienist
- Stockton, CA
National Provider Identifier
1790241198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 29686
- Practice address
- 4536 Pissarro Dr
Stockton, CA 95206-6144 - Phone
- (209) 513-8635
- NPI assigned
- Feb 11, 2019
- 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 | 29686 | CA | Primary |
Addresses
Primary practice location
4536 Pissarro Dr
Stockton, CA 95206-6144
Mailing address
4536 Pissarro Dr
Stockton, CA 95206-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29686 | Medicaid | CA |
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": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1790241198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 PISSARRO DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952066144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4536 PISSARRO DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952066144",
"telephone_number": "209-513-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "HARMEET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "29686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29686",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.