ANDERSON DENTAL HYGIENE PRACTICE, KIERESTEN ANDERSON, RDHAP — NPI 1700733771 (Licensed & Credentialed Dental Hygienist in RIDGECREST, CA)

CMS-1500 Box 24J / 33a • NPI

1700733771

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

124Q00000X

Licensed & Credentialed Dental Hygienist

Box 32 Service Location & ZIP+4

459 S CHINA LAKE BLVD STE D, RIDGECREST, CA, 93555-4669

✓ 9-Digit EDI 837 ZIP+4 (93555-4669)

Practice Phone & Referral Fax

(760) 428-8837

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700733771 (ANDERSON DENTAL HYGIENE PRACTICE, KIERESTEN ANDERSON, RDHAP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700733771` (NPI-2 Organization / Facility)
Provider / Legal Name	ANDERSON DENTAL HYGIENE PRACTICE, KIERESTEN ANDERSON, RDHAP
Plain-English Specialty	Licensed & Credentialed Dental Hygienist NUCC Code: `124Q00000X` (Dental Hygienist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	459 S CHINA LAKE BLVD STE D, RIDGECREST, CA, 93555-4669
Practice Telephone / Fax	Tel: (760) 428-8837
Administrative Mailing Address	459 S CHINA LAKE BLVD STE D, RIDGECREST, CA, 93555-4669
Enumeration & Last Sync	Enumerated: 2026-03-11 \| CMS Record Updated: 2026-03-11
Authorized Official	KIERESTEN ANDERSON (Owner/Provider)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

459 S CHINA LAKE BLVD STE D, RIDGECREST, CA, 93555-4669

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Plain-English Taxonomy & CMS Crosswalk (124Q00000X)

What Does Taxonomy Code 124Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 124Q00000X translates to:
"Licensed & Credentialed Dental Hygienist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dental Hygienist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDERSON DENTAL HYGIENE PRACTICE, KIERESTEN ANDERSON, RDHAP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`124Q00000X` — Dental Hygienist Plain English: Licensed & Credentialed Dental Hygienist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDERSON DENTAL HYGIENE PRACTICE, KIERESTEN ANDERSON, RDHAP (NPI #1700733771)