Active NPI
Tiffany Ann Kilpatrick, RDH, PHDHP
- Dental Hygienist
- Jersey Shore, PA
National Provider Identifier
1063008217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH071708
- Practice address
- 1804 Elmhurst Ave
Jersey Shore, PA 17740-1514 - Phone
- (570) 295-8089
- NPI assigned
- Dec 11, 2020
- Last updated
- Nov 17, 2021
- 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 | DH071708 | PA | Primary |
Addresses
Primary practice location
1804 Elmhurst Ave
Jersey Shore, PA 17740-1514
Mailing address
PO Box 642
Jersey Shore, PA 17740-0642
Phone (570) 295-8089
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 |
|---|---|---|---|
| DH071708 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1063008217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642",
"city": "JERSEY SHORE",
"state": "PA",
"postal_code": "177400642",
"telephone_number": "570-295-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 ELMHURST AVE",
"city": "JERSEY SHORE",
"state": "PA",
"postal_code": "177401514",
"telephone_number": "570-295-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "TIFFANY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RDH, PHDHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH071708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey Shore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.