Diversified Mobile Smiles

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDHAP44 Issued in CA

Legal business name

DIVERSIFIED MOBILE SMILES

Practice address

3016 San Jose Ave
Alameda, CA 94501-4834

Phone

(510) 227-5804

Fax

(510) 227-5804

NPI assigned

May 29, 2007

Last updated

Feb 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicki Harris, RDHAP44NPI 1447313713

Title

Owner President

Phone

(510) 227-5804

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicki Jo Harris, RDHAP

  • Dental Hygienist
  • Alameda, CA
  • NPI 1447313713
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1902007826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE",
            "address_2": "810",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "510-227-5804",
            "fax_number": "510-227-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 SAN JOSE AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014834",
            "telephone_number": "510-227-5804",
            "fax_number": "510-227-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED MOBILE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "510-227-5804",
        "authorized_official_credential": "RDHAP44"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dimitruk, CMT
• Nicholas Pedro Dionisio
• McKayla Nicole Dipo
• Jon K Diskin, L.AC.
• James Guido Distefano Jr., M.D.
• Chuong M. DO, MD
• Danh Dinh DO
• Tuong VI Doan, MS, PPSC
• Patricia Jane Dobbins, DC
• Carla S Dodge, DDS

• Dental Hygienist in Alameda, CA
• Providers in Alameda, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.