Active NPI
Krista Marie Gavira, RDH, OMT
- Dental Hygienist
- Napa, CA
National Provider Identifier
1912494261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 27844
- Practice address
- 3434 Villa LN Ste 120
Napa, CA 94558-6414 - Phone
- (707) 257-7771
- NPI assigned
- Apr 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 27844 | CA | Primary |
Addresses
Primary practice location
3434 Villa LN Ste 120
Napa, CA 94558-6414
Mailing address
2539 W Pueblo Ave
Napa, CA 94558-4340
Phone (707) 337-4950
Other practice location 1
3270 Beard Rd
Napa, CA 94558-3406
Phone (707) 226-5555
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 |
|---|---|---|---|
| 27844 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rozenberg DMD Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524268800000",
"number": "1912494261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 W PUEBLO AVE",
"city": "NAPA",
"state": "CA",
"postal_code": "945584340",
"telephone_number": "707-337-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3434 VILLA LN STE 120",
"city": "NAPA",
"state": "CA",
"postal_code": "945586414",
"telephone_number": "707-257-7771"
}
],
"practiceLocations": [
{
"address_1": "3270 Beard Rd",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945583406",
"country_code": "US",
"telephone_number": "707-226-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAVIRA",
"first_name": "KRISTA",
"middle_name": "MARIE",
"credential": "RDH, OMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-21",
"last_updated": "2018-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "CA",
"license": "27844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.