Organization Active NPI

At Your Door Dental

  • Dental Hygienist
  • Beavercreek, OR
National Provider Identifier
1003234253
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H5272 Issued in OR
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

Updated by the provider on Apr 4, 2014

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)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.