Active NPI
Mykal Ann Baron, RDH
- Dental Hygienist
- Aloha, OR
National Provider Identifier
1114400140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7720
- Practice address
- 20285 SW Tualatin Valley Hwy
Aloha, OR 97003-2302 - Phone
- (503) 334-0930
- NPI assigned
- Sep 14, 2018
- Last updated
- Oct 29, 2021
- 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 | H7720 | OR | Primary |
Addresses
Primary practice location
20285 SW Tualatin Valley Hwy
Aloha, OR 97003-2302
Mailing address
10124 NW 19TH Ave
Vancouver, WA 98685-5014
Phone (360) 430-4867
Other practice location 1
14500 SW Murray Scholls Dr Ste 101
Beaverton, OR 97007-9277
Phone (503) 342-8749
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 |
|---|---|---|---|
| H7720 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doyel Maxus LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1114400140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10124 NW 19TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986855014",
"telephone_number": "360-430-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20285 SW TUALATIN VALLEY HWY",
"city": "ALOHA",
"state": "OR",
"postal_code": "970032302",
"telephone_number": "503-334-0930"
}
],
"practiceLocations": [
{
"address_1": "14500 SW Murray Scholls Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970079277",
"country_code": "US",
"telephone_number": "503-342-8749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARON",
"first_name": "MYKAL",
"middle_name": "ANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.