Active NPI
Ana Lilia Contreras, RDH
- Dental Hygienist
- Kotzebue, AK
National Provider Identifier
1952799678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00007460
- Practice address
- 733 2ND Avenue
Kotzebue, AK 99752 - Phone
- (907) 442-7328
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
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 | DH00007460 | WA | Primary |
Addresses
Primary practice location
733 2ND Avenue
Kotzebue, AK 99752
Mailing address
3716 Melody LN
Pasco, WA 99301-9349
Phone (509) 521-6045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH00007460 | Other | WA | WA |
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 |
|---|---|---|---|
| DH00007460 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1952799678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 MELODY LN",
"city": "PASCO",
"state": "WA",
"postal_code": "993019349",
"telephone_number": "509-521-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 2ND AVENUE",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "99752",
"telephone_number": "907-442-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "ANA",
"middle_name": "LILIA",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00007460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA",
"identifier": "DH00007460",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.