Jill C Green, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

26842 Issued in CA

Practice address

7255 Joshua LN
Ste B
Yucca Valley, CA 92284-2948

Phone

(760) 365-8331

NPI assigned

Mar 25, 2016

Last updated

Mar 27, 2016By the provider in NPPES

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

Practice roles

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

• Jinyong Chun DDS Inc

  • Dentist
  • Yucca Valley, CA
  • NPI 1811319080
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459036800000",
    "number": "1851753024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57870 HIDDEN GOLD DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922844430",
            "telephone_number": "559-223-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 JOSHUA LN",
            "address_2": "STE B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842948",
            "telephone_number": "760-365-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "26842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Grant, NP-F
• Francis J Grauer
• Richard Grauer
• Aneeka Marie Gray, AMFT
• Richard Brian Gray, LMFT
• Latanya J Green
• Charles Robert Greenwood, D.C.
• John Grigg, RPH
• Rachel Leah Gross, LMFT
• Valarie Grossman, MASSAGE THERAPIST

• Dental Hygienist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2016; 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.