Individual provider Active NPI

Kathleen Batenga, RDHAP

  • Dental Hygienist
  • San Diego, CA
National Provider Identifier
1952876138
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP682 Issued in CA
Practice address
6253 Avenida de Las Vistas Unit 1
San Diego, CA 92154-6619
Phone
(619) 316-6775
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 HAP682 CA Primary

Addresses

Primary practice location

6253 Avenida de Las Vistas Unit 1
San Diego, CA 92154-6619

Mailing address

6253 Avenida de Las Vistas Unit 1
San Diego, CA 92154-6619
Phone (619) 316-6775

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
HAP682CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1952876138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6253 AVENIDA DE LAS VISTAS UNIT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921546619",
            "telephone_number": "619-316-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6253 AVENIDA DE LAS VISTAS UNIT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921546619",
            "telephone_number": "619-316-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATENGA",
        "first_name": "KATHLEEN",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.