Individual provider Active NPI

Jennifer Lynn McLin, RDHAP

  • Dental Hygienist
  • Menifee, CA
National Provider Identifier
1942831847
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
758 Issued in CA
Practice address
29127 Guava St
Menifee, CA 92584-7290
Phone
(757) 408-7769
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 29640 CA
Dental Hygienist 124Q00000X 758 CA Primary

Addresses

Primary practice location

29127 Guava St
Menifee, CA 92584-7290

Mailing address

29127 Guava St
Menifee, CA 92584-7290
Phone (757) 408-7769

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email Direct

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
29640CAMDGeneral Practice Dentistry
758CAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1942831847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29127 GUAVA ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847290",
            "telephone_number": "757-408-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29127 GUAVA ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847290",
            "telephone_number": "757-408-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "RDHAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "29640",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29127 Guava St",
            "city": "Menifee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925847290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.