NPIMap

Organization Active NPI

Shasta College Dental Hygiene Program

  • Dentist
  • Redding, CA
National Provider Identifier
1992927024
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G92107-01 Issued in CA
Legal business name
SHASTA COLLEGE DENTAL HYGIENE PROGRAM
Practice address
2701 Eureka Way
Suite 2a
Redding, CA 96001-0228
Phone
(530) 245-7332
Fax
(530) 245-7333
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Richards
Title
Receptionist
Phone
(530) 245-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X G92107-01 CA Primary

Addresses

Primary practice location

2701 Eureka Way
Suite 2a
Redding, CA 96001-0228

Mailing address

2701 Eureka Way
Suite 2a
Redding, CA 96001-0228
Phone (530) 245-7332

Other identifiers 1

IdentifierTypeStateIssuer
G92107-01OtherCAPROVIDER NO

National Provider Directory

National Provider Directory
Tax ID family
Shasta College Dental Hygiene Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992927024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 EUREKA WAY",
            "address_2": "SUITE 2A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010228",
            "telephone_number": "530-245-7332",
            "fax_number": "530-245-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EUREKA WAY",
            "address_2": "SUITE 2A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010228",
            "telephone_number": "530-245-7332",
            "fax_number": "530-245-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA COLLEGE DENTAL HYGIENE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "530-245-7332"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "G92107-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO",
            "identifier": "G92107-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.