Jessica Lynn Woods, RDA, RDH, RDHAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

102237 Issued in NV

Practice address

407 W Imperial Hwy
Suite H175
Brea, CA 92821-4832

Phone

(714) 292-3291

NPI assigned

Jan 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Jessica Lynn Holleron Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Hygiene Direct

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1043812993
  Authorized official Same address or phone

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1962649715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY",
            "address_2": "SUITE H175",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "714-292-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY",
            "address_2": "SUITE H175",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "714-292-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RDA, RDH, RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "25954",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP542",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "64252",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NV",
            "license": "102237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HOLLERON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "RDA, RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henry Trien Wong, MS
• Trini Wong, DDS
• Wai Chung Wong, PT, DPT
• Jae Woo, NP
• Samantha Lynn Woods King
• Stacy Woolman, LMFT
• Susan Irene Worrell, M.A. SLP CCC
• Connor Wu
• Daniel Jonathan Wu, P.T.
• Michael C. Wu, M.D.

• Dental Hygienist in Brea, CA
• Providers in Brea, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.