Individual provider Active NPI

Alliance Ivy Kamdem, RDH, RDHAP

  • Dental Hygienist
  • Los Angeles, CA
National Provider Identifier
1912499310
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
692 Issued in CA
Practice address
3344 Castle Heights Ave Apt 302
Los Angeles, CA 90034-2771
Phone
(310) 310-5798
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 692 CA Primary

Addresses

Primary practice location

3344 Castle Heights Ave Apt 302
Los Angeles, CA 90034-2771

Mailing address

3344 Castle Heights Ave Apt 302
Los Angeles, CA 90034-2771

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

LicenseStateTypeSpecialty
692CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1912499310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 CASTLE HEIGHTS AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 CASTLE HEIGHTS AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342771",
            "telephone_number": "310-310-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDEM",
        "first_name": "ALLIANCE IVY",
        "credential": "RDH, RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.