Individual provider Active NPI

Carla Carmen Loiacono, RDHAP

  • Dental Hygienist
  • San Jose, CA
National Provider Identifier
1942404397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDHAP183 Issued in CA
Practice address
5770 Winfield Blvd SPC 153
San Jose, CA 95123-2422
Phone
(408) 608-7292
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDHAP183 CA Primary

Addresses

Primary practice location

5770 Winfield Blvd SPC 153
San Jose, CA 95123-2422

Mailing address

5770 Winfield Blvd SPC 153
San Jose, CA 95123-2422
Phone (408) 608-7292

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
RDHAP183CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942404397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 WINFIELD BLVD SPC 153",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232422",
            "telephone_number": "408-608-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 WINFIELD BLVD SPC 153",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232422",
            "telephone_number": "408-608-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOIACONO",
        "first_name": "CARLA",
        "middle_name": "CARMEN",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDHAP183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.