Active NPI
Inez Delores Dermody, RDH
- Dental Hygienist
- Willows, CA
National Provider Identifier
1891482170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 33177
- Practice address
- 207 N Butte St
Willows, CA 95988-2803 - Phone
- (530) 934-4641
- NPI assigned
- Apr 18, 2023
- Last updated
- Apr 18, 2023
- 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 | 33177 | CA | Primary |
Addresses
Primary practice location
207 N Butte St
Willows, CA 95988-2803
Mailing address
207 N Butte St
Willows, CA 95988-2803
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 |
|---|---|---|---|
| 33177 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1891482170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BUTTE ST",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N BUTTE ST",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882803",
"telephone_number": "530-934-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERMODY",
"first_name": "INEZ",
"middle_name": "DELORES",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "33177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willows, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.