Individual provider Active NPI

Aimee Elizabeth Wedmore, B.S.

  • Dental Hygienist
  • Lake Elsinore, CA
National Provider Identifier
1821435736
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
27041 Issued in CA
Practice address
33099 Lorimer St
Lake Elsinore, CA 92530-6032
Phone
(951) 265-7918
NPI assigned
May 31, 2013
Last updated
May 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 27041 CA Primary

Addresses

Primary practice location

33099 Lorimer St
Lake Elsinore, CA 92530-6032

Mailing address

33099 Lorimer St
Lake Elsinore, CA 92530-6032
Phone (951) 265-7918

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
27041CAMDDental Hygienist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1821435736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33099 LORIMER ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925306032",
            "telephone_number": "951-265-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33099 LORIMER ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925306032",
            "telephone_number": "951-265-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDMORE",
        "first_name": "AIMEE",
        "middle_name": "ELIZABETH",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "27041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.