Active NPI
Nicki Clukey
- Dental Hygienist
- Ellsworth, ME
National Provider Identifier
1073804928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH3703
- Practice address
- 52 Christian Ridge Rd
Ellsworth, ME 04605-3210 - Phone
- (207) 667-0293
- Fax
- (207) 667-5805
- NPI assigned
- Apr 27, 2011
- Last updated
- Apr 27, 2011
- 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 | RDH3703 | ME | Primary |
Addresses
Primary practice location
52 Christian Ridge Rd
Ellsworth, ME 04605-3210
Mailing address
52 Christian Ridge Rd
Ellsworth, ME 04605-3210
Phone (207) 667-0293
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 |
|---|---|---|---|
| RDH3703 | ME | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1073804928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 CHRISTIAN RIDGE RD",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046053210",
"telephone_number": "207-667-0293",
"fax_number": "207-667-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CHRISTIAN RIDGE RD",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046053210",
"telephone_number": "207-667-0293",
"fax_number": "207-667-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUKEY",
"first_name": "NICKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "RDH3703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
- Traci Christensen-Johnson
- Kenneth G Christian, MD
- City of Ellsworth (Ellsworth Fire Department)
- City of Ellsworth (Ellsworth School Department)
- Jesse R Cloutier, PA
- Coastal Anesthesia, PA
- Coastal Eye Care, P.a.
- Coastal Eye Surgery Center, LLC
- Coastal Health Center
- Coastal Maine Chiropractic Center, P.C. (Coastal Maine Chiropractic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.