Individual provider Active NPI

Nikki C Smith, RDHAP

  • Dental Hygienist
  • Los Banos, CA
National Provider Identifier
1841478880
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDHAP 4 Issued in CA
Practice address
863 I St Ste B
Los Banos, CA 93635-4310
Phone
(209) 826-5992
Fax
(209) 826-6268
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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 RDHAP 4 CA Primary

Addresses

Primary practice location

863 I St Ste B
Los Banos, CA 93635-4310

Mailing address

863 I St Ste B
Los Banos, CA 93635-4310
Phone (209) 826-5992

Other identifiers 1

IdentifierTypeStateIssuer
YO 2283OtherCADENTI CAL

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

State licenses

LicenseStateTypeSpecialty
RDHAP 4CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Hygiene Limited Dental Hygienist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1841478880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 I ST STE B",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354310",
            "telephone_number": "209-826-5992",
            "fax_number": "209-826-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 I ST STE B",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354310",
            "telephone_number": "209-826-5992",
            "fax_number": "209-826-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NIKKI",
        "middle_name": "C",
        "credential": "RDHAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP 4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "YO 2283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.