Individual provider Active NPI

Carol B. Lincer, RDH

  • Dental Hygienist
  • Newberg, OR
National Provider Identifier
1053754572
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H6399 Issued in OR
Practice address
9775 NE Blackcap LN
Newberg, OR 97132-7116
Phone
(510) 672-1229
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH 26847 CA
Dental Hygienist 124Q00000X H6399 OR Primary

Addresses

Primary practice location

9775 NE Blackcap LN
Newberg, OR 97132-7116

Mailing address

9775 NE Blackcap LN
Newberg, OR 97132-7116
Phone (510) 672-1229

Other names 1

  • Carol B. McClain Former name

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
RDH 26847CAMDDental Hygienist
H6399ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1053754572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 NE BLACKCAP LN",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327116",
            "telephone_number": "510-672-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 NE BLACKCAP LN",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327116",
            "telephone_number": "510-672-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCER",
        "first_name": "CAROL",
        "middle_name": "B.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "RDH 26847",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MCCLAIN",
            "middle_name": "B.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.