Individual provider Active NPI

Teresa Louise Prewitt, RDH

  • Dental Hygienist
  • Gaviota, CA
National Provider Identifier
1801188263
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH 19191 Issued in CA
Practice address
777 Hollister Ranch Rd
Gaviota, CA 93117-9715
Phone
(805) 567-5918
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RDH 19191CAMDDental Hygienist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH 19191 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

777 Hollister Ranch Rd
Gaviota, CA 93117-9715

Mailing address

777 Hollister Ranch Rd
Gaviota, CA 93117-9715
Phone (805) 567-5918

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2011.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1801188263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HOLLISTER RANCH RD",
            "city": "GAVIOTA",
            "state": "CA",
            "postal_code": "931179715",
            "telephone_number": "805-567-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOLLISTER RANCH RD",
            "city": "GAVIOTA",
            "state": "CA",
            "postal_code": "931179715",
            "telephone_number": "805-567-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "TERESA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH 19191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaviota, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.