Active NPI
Teresa Louise Prewitt, RDH
- Dental Hygienist
- Gaviota, CA
National Provider Identifier
1801188263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH 19191
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RDH 19191 | CA | MD | Dental Hygienist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH 19191 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.