Individual provider Active NPI

Mykal Ann Baron, RDH

  • Dental Hygienist
  • Aloha, OR
National Provider Identifier
1114400140
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H7720 Issued in OR
Practice address
20285 SW Tualatin Valley Hwy
Aloha, OR 97003-2302
Phone
(503) 334-0930
NPI assigned
Sep 14, 2018
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
H7720ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.