NPIMap

Organization Active NPI

Accessible Mobile Dental Hygiene LLC

  • Dental Clinic/Center
  • Grants Pass, OR
National Provider Identifier
1073872941
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ACCESSIBLE MOBILE DENTAL HYGIENE LLC
Practice address
1108 SW Ironwood Dr
Grants Pass, OR 97526-6900
Phone
(541) 476-8338
NPI assigned
May 11, 2012
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Mr. John M Tripp, RDHNPI 1407153612
Title
Owner
Phone
(541) 295-1264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1108 SW Ironwood Dr
Grants Pass, OR 97526-6900

Mailing address

PO Box 1597
Grants Pass, OR 97528-0135
Phone (541) 476-8338

National Provider Directory

National Provider Directory
Tax ID family
Accessible Mobile Dental Hygiene LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1073872941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1597",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280135",
            "telephone_number": "541-476-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SW IRONWOOD DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266900",
            "telephone_number": "541-476-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSIBLE MOBILE DENTAL HYGIENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-295-1264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.