Individual provider Active NPI

Elizabeth Owens, RDH,BS,PHDHP

  • Dental Hygienist
  • Erie, PA
National Provider Identifier
1063008324
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH013080L Issued in PA
Practice address
4040 W 15TH St
Erie, PA 16505-3109
Phone
(814) 397-0449
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 DH013080L PA Primary

Addresses

Primary practice location

4040 W 15TH St
Erie, PA 16505-3109

Mailing address

4040 W 15TH St
Erie, PA 16505-3109
Phone (814) 397-0449

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hygienists@hammerleedentalcare.com Other

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
DH013080LPAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1063008324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 W 15TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053109",
            "telephone_number": "814-397-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 W 15TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053109",
            "telephone_number": "814-397-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ELIZABETH",
        "credential": "RDH,BS,PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH013080L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hygienists@hammerleedentalcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Erie",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Erie",
            "address_1": "4040 W 15th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165053109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.