Active NPI
Melanie Waters, R.D.H.A.P.
- Dental Hygienist
- San Luis Obispo, CA
National Provider Identifier
1942576426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 400
- Practice address
- 1177 Palm St
San Luis Obispo, CA 93401-3113 - Phone
- (805) 549-7873
- NPI assigned
- Mar 28, 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 | 400 | CA | Primary |
Addresses
Primary practice location
1177 Palm St
San Luis Obispo, CA 93401-3113
Mailing address
1177 Palm St
San Luis Obispo, CA 93401-3113
Phone (805) 549-7873
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 |
|---|---|---|---|
| 400 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1942576426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 PALM ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013113",
"telephone_number": "805-549-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 PALM ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013113",
"telephone_number": "805-549-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "MELANIE",
"credential": "R.D.H.A.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.