Active NPI
Jeni Wilson
- Dental Hygienist
- Hillsboro, OR
National Provider Identifier
1073850137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5875
- Practice address
- 5935 SE Alexander St
Hillsboro, OR 97123-8575 - Phone
- (503) 848-2385
- NPI assigned
- Jan 9, 2013
- 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 | H5875 | OR | Primary |
Addresses
Primary practice location
5935 SE Alexander St
Hillsboro, OR 97123-8575
Mailing address
16039 SW Bridle Hills Dr
Beaverton, OR 97007-4933
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 |
|---|---|---|---|
| H5875 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1073850137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16039 SW BRIDLE HILLS DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970074933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5935 SE ALEXANDER ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971238575",
"telephone_number": "503-848-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JENI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.