Individual provider Active NPI

Erin Dawn Densmore, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Garden Grove, CA
National Provider Identifier
1992914170
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP15171 Issued in CA
Practice address
12060 Valley View St.
Suite 137
Garden Grove, CA 92845
Phone
(714) 901-1518
Fax
(714) 901-1359
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP15171 CA Primary

Addresses

Primary practice location

12060 Valley View St.
Suite 137
Garden Grove, CA 92845

Mailing address

6091 Medford Dr
Huntington Beach, CA 92647-2456
Phone (714) 717-4658

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Expressions Speech Language Pathology Services Inc Speech-Language Pathologist PastSince Feb 12, 2012 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1992914170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 MEDFORD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472456",
            "telephone_number": "714-717-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 VALLEY VIEW ST.",
            "address_2": "SUITE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSMORE",
        "first_name": "ERIN",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP15171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.