Individual provider Active NPI

Jennifer Rebecca Ludwig, RDH

  • Dental Hygienist
  • Vancouver, WA
National Provider Identifier
1053054528
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH7718 Issued in WA
Practice address
700 SE 160TH Ave Ste 121
Vancouver, WA 98684-8910
Phone
(360) 253-3480
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH7718 WA Primary

Addresses

Primary practice location

700 SE 160TH Ave Ste 121
Vancouver, WA 98684-8910

Mailing address

700 SE 160TH Ave Ste 121
Vancouver, WA 98684-8910
Phone (360) 253-3480

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drleefrontdesk@yahoo.com

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

LicenseStateTypeSpecialty
DH7718WAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1053054528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE 160TH AVE STE 121",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848910",
            "telephone_number": "360-253-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 160TH AVE STE 121",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848910",
            "telephone_number": "360-253-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drleefrontdesk@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "700 SE 160th Ave Ste 121",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986848910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 13, 2022; 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.