Sherry Lynn Cauley, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

003042 Issued in MO

Practice address

1025 W Main St
Park Hills, MO 63601-2079

Phone

(573) 431-1947

Fax

(573) 431-7326

NPI assigned

Nov 14, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Francois County Health Center

  • Public Health or Welfare Agency
  • Park Hills, MO
  • NPI 1417921420
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013089226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX Q",
            "address_2": "1025 WEST MAIN STREET",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010397",
            "telephone_number": "573-431-1947",
            "fax_number": "573-431-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012079",
            "telephone_number": "573-431-1947",
            "fax_number": "573-431-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULEY",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "003042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9181347",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.