NPIMap

Organization Active NPI

Cassandra Williamson Rdhap, Inc.

  • Dental Hygienist
  • San Luis Obispo, CA
National Provider Identifier
1962185090
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
CASSANDRA WILLIAMSON RDHAP, INC.
Practice address
1311 Fernwood Dr
San Luis Obispo, CA 93401-5910
Phone
(909) 693-0621
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Mrs. Cassandra Lynn Williamson, RDHAPNPI 1376236067
Title
President
Phone
(909) 693-0621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

1311 Fernwood Dr
San Luis Obispo, CA 93401-5910

Mailing address

1311 Fernwood Dr
San Luis Obispo, CA 93401-5910
Phone (909) 693-0621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1962185090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 FERNWOOD DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015910",
            "telephone_number": "909-693-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FERNWOOD DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015910",
            "telephone_number": "909-693-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA WILLIAMSON RDHAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-693-0621",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "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 Sep 12, 2023; 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.