Active NPI
At Your Door Dental
- Dental Hygienist
- Beavercreek, OR
National Provider Identifier
1003234253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5272
- Legal business name
- AT YOUR DOOR DENTAL
- Practice address
- 25150 S. Larkin Rd.
Beavercreek, OR 97004 - Phone
- (503) 657-0392
- NPI assigned
- Apr 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. N. Elaine Lancaster, RDH
- Title
- Dental Hygienist
- Phone
- (503) 277-3270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5272 | OR | Primary |
Addresses
Primary practice location
25150 S. Larkin Rd.
Beavercreek, OR 97004
Mailing address
PO Box 976
Beavercreek, OR 97004
Phone (503) 657-0932
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396569600000",
"number": "1003234253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 976",
"city": "BEAVERCREEK",
"state": "OR",
"postal_code": "97004",
"telephone_number": "503-657-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25150 S. LARKIN RD.",
"city": "BEAVERCREEK",
"state": "OR",
"postal_code": "97004",
"telephone_number": "503-657-0392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT YOUR DOOR DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A",
"authorized_official_last_name": "LANCASTER",
"authorized_official_first_name": "N.",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "DENTAL HYGIENIST",
"authorized_official_telephone_number": "503-277-3270",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.