Active NPI
Jennifer Ficco, RDH
- Dental Hygienist
- Vancouver, WA
National Provider Identifier
1003291527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 00004393
- Practice address
- 910 NE Tenney Rd
Suite 117
Vancouver, WA 98685-2837 - Phone
- (360) 695-1515
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 00004393 | WA | Primary |
Addresses
Primary practice location
910 NE Tenney Rd
Suite 117
Vancouver, WA 98685-2837
Mailing address
3505 NW 132ND Cir
Vancouver, WA 98685-1607
Phone (360) 624-7729
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004393 | WA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Dental | Past | 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.
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1568917888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1003291527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 NW 132ND CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986851607",
"telephone_number": "360-624-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 NE TENNEY RD",
"address_2": "SUITE 117",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852837",
"telephone_number": "360-695-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICCO",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "00004393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.