Organization Active NPI

The Tooth Fairy, Inc.

  • Dental Hygienist
  • Sheridan, OR
National Provider Identifier
1114204302
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H-3797 Issued in OR
Legal business name
THE TOOTH FAIRY, INC.
Practice address
21300 Gooseneck Creek Rd
Sheridan, OR 97378-9573
Phone
(503) 843-3348
Fax
(503) 843-3348
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Ms. Elaine V. Schloeder, RDH, LAPNPI 1619112893
Title
President
Phone
(503) 843-3348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X H-3797 OR Primary

Addresses

Primary practice location

21300 Gooseneck Creek Rd
Sheridan, OR 97378-9573

Mailing address

21300 Gooseneck CR. Rd.
Sheridan, OR 97378-9543
Phone (503) 843-3348

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1114204302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 GOOSENECK CR. RD.",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973789543",
            "telephone_number": "503-843-3348",
            "fax_number": "503-843-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 GOOSENECK CREEK RD",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973789573",
            "telephone_number": "503-843-3348",
            "fax_number": "503-843-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOOTH FAIRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SCHLOEDER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-843-3348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH, LAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H-3797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.