Active NPI
Rita Dacia McIntyre, DDS
- Public Health Dentistry
- Vacaville, CA
National Provider Identifier
1821272733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 29369
- Practice address
- 2100 Peabody Road
Vacaville, CA 95696-4000 - Phone
- (707) 454-3264
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 29369 | CA | Primary |
Addresses
Primary practice location
2100 Peabody Road
Vacaville, CA 95696-4000
Mailing address
607 Elmira Road
#367
Vacaville, CA 95687
Phone (530) 304-9054
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": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1821272733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 ELMIRA ROAD",
"address_2": "#367",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95687",
"telephone_number": "530-304-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 PEABODY ROAD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956964000",
"telephone_number": "707-454-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "RITA",
"middle_name": "DACIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CA",
"license": "29369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.