Active NPI
Priscilla Gerakos
- Dental Hygienist
- Irvine, CA
National Provider Identifier
1932454568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 23750
- Practice address
- 4330 Barranca Pkwy
Suite 100
Irvine, CA 92604-4755 - Phone
- (949) 552-6334
- NPI assigned
- Jul 19, 2012
- Last updated
- Jul 19, 2012
- 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 | 23750 | CA | Primary |
Addresses
Primary practice location
4330 Barranca Pkwy
Suite 100
Irvine, CA 92604-4755
Mailing address
30116 Sonrisa LN
Laguna Niguel, CA 92677-2356
Phone (949) 295-2235
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colin Suzman, BDS, DDS, a Professional Corp. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Irvine, CA
- NPI 1982435541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1932454568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30116 SONRISA LN",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772356",
"telephone_number": "949-295-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 BARRANCA PKWY",
"address_2": "SUITE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044755",
"telephone_number": "949-552-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAKOS",
"first_name": "PRISCILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "23750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.