Active NPI
Gail Brockett
- Dental Hygienist
- Newman, CA
National Provider Identifier
1851706378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5129
- Practice address
- 637 Merced St
Newman, CA 95360-1070 - Phone
- (209) 862-0270
- Fax
- (209) 862-0274
- NPI assigned
- Jun 23, 2014
- Last updated
- Jun 23, 2014
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5129 | CA | Primary |
Addresses
Primary practice location
637 Merced St
Newman, CA 95360-1070
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 385-5481
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5129 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1851706378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805",
"telephone_number": "209-385-5481",
"fax_number": "209-383-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 MERCED ST",
"city": "NEWMAN",
"state": "CA",
"postal_code": "953601070",
"telephone_number": "209-862-0270",
"fax_number": "209-862-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKETT",
"first_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "5129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newman, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.