Active NPI
Melody Ann Vujicich, RDHAP
- Dental Hygienist
- Lake Forest, CA
National Provider Identifier
1942876115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 779
- Practice address
- 20041 Osterman Rd Apt R14
Lake Forest, CA 92630-7790 - Phone
- (909) 641-5922
- NPI assigned
- May 28, 2021
- 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 | 779 | CA | Primary |
Addresses
Primary practice location
20041 Osterman Rd Apt R14
Lake Forest, CA 92630-7790
Mailing address
20041 Osterman Rd Apt R14
Lake Forest, CA 92630-7790
Phone (909) 641-5922
Other names 1
- Melody Ann Vujicich
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melody@gleaminggrins.com | ||
| Direct Messaging Address | melody@gleaminggrins.com |
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 |
|---|---|---|---|
| 779 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1942876115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20041 OSTERMAN RD APT R14",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926307790",
"telephone_number": "909-641-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20041 OSTERMAN RD APT R14",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926307790",
"telephone_number": "909-641-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUJICICH",
"first_name": "MELODY",
"middle_name": "ANN",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "779",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melody@gleaminggrins.com",
"affiliation": "N",
"address_1": "20041 Osterman Rd Apt R14",
"city": "Lake Forest",
"state": "CA",
"country_code": "US",
"postal_code": "926307790",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melody@gleaminggrins.com",
"affiliation": "N",
"address_1": "20041 Osterman Rd Apt R14",
"city": "Lake Forest",
"state": "CA",
"country_code": "US",
"postal_code": "926307790",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELODY",
"last_name": "VUJICICH",
"middle_name": "ANN",
"credential": "RDHAP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.