Shauna Weil, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH60491467 Issued in WA

Practice address

13115 NE 4TH St Ste 250
Vancouver, WA 98684-5960

Phone

(360) 256-7455

NPI assigned

Nov 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shauna Maygra Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mac Jackson III DMD PLLC

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1750229423
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1124560545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 NE 136TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823059",
            "telephone_number": "985-707-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST STE 250",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845960",
            "telephone_number": "360-256-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "SHAUNA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6880",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH60491467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "MAYGRA",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna J Wehrley, OTR
• Anthony Shen-Yuan Wei, MD
• Julia Wei, PHARM. D.
• Patrice Weible
• Lois Gene Weihl, SUDP
• Allan Jay Weiland, M.D.
• Bryana Weimer, DNP
• Roxanne Marie Weiner, LMHC
• Christine Julia Weinmeister, CNM, PMHNP-BC
• Samuel Draper Weirich, M.D.

• Dental Hygienist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.