Kiarra Gist

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

31311 Issued in CA

Practice address

3284 Garfield St
San Bernardino, CA 92407-1903

Phone

(951) 941-1215

NPI assigned

Jul 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GMR Dental Hygiene Group

  • Health Service Clinic/Center
  • San Bernardino, CA
  • NPI 1407684640
  NPD

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1831936020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 GARFIELD ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 GARFIELD ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924071903",
            "telephone_number": "951-941-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "KIARRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "31311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenitta Gilliam-Udo, PA-C
• Susan Kimberly Gilliam, LCSW
• Gintien Huang MD Inc
• Daniel Magdy Girgis, M.S.
• Brenda Ruby Giron, M.S.
• Marcus Daerious Gitchuway
• Horatius Gittens, MFTI
• Gustavia Givens Jr.
• Joni Renee Glackin, LCSW
• Rosemary Glaven

• Dental Hygienist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.