Active NPI
Shaunna Jennings, RDH
- Dental Hygienist
- Cottage Grove, OR
National Provider Identifier
1023408481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5797
- Practice address
- 1775 E Main St
Cottage Grove, OR 97424-2245 - Phone
- (888) 468-0022
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 | H5797 | OR | Primary |
Addresses
Primary practice location
1775 E Main St
Cottage Grove, OR 97424-2245
Mailing address
3471 Cabernet LN
Eugene, OR 97404-2036
Phone (509) 301-3372
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 |
|---|---|---|---|
| H5797 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1023408481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3471 CABERNET LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042036",
"telephone_number": "509-301-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 E MAIN ST",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242245",
"telephone_number": "888-468-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "SHAUNNA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.