Organization Active NPI

Smiles on the Run Dental Hygiene Practice of Kimberly Farrell Rdhap

  • Home Health Agency
  • Aliso Viejo, CA
National Provider Identifier
1871855452
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HAP103 Issued in CA
Legal business name
SMILES ON THE RUN DENTAL HYGIENE PRACTICE OF KIMBERLY FARRELL RDHAP
Practice address
26895 Aliso Creek Rd Ste B671
Aliso Viejo, CA 92656-5301
Phone
(949) 637-8911
NPI assigned
Jun 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Kimberly Ann Farrell, RDHAP
Title
Rdhap / Owner
Phone
(949) 637-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HAP103 CA Primary

Addresses

Primary practice location

26895 Aliso Creek Rd Ste B671
Aliso Viejo, CA 92656-5301

Mailing address

26895 Aliso Creek Rd Ste B671
Aliso Viejo, CA 92656-5301
Phone (949) 637-8911

Other identifiers 1

IdentifierTypeStateIssuer
H00103OtherCADENTICAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1871855452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK RD STE B671",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565301",
            "telephone_number": "949-637-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK RD STE B671",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565301",
            "telephone_number": "949-637-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON THE RUN DENTAL HYGIENE PRACTICE OF KIMBERLY FARRELL RDHAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RDHAP / OWNER",
        "authorized_official_telephone_number": "949-637-8911",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "HAP103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "H00103",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.