Individual provider Active NPI

Dena Lynn Shauf, RDH

  • Dental Hygienist
  • Orbisonia, PA
National Provider Identifier
1124753264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH011221L Issued in PA
Practice address
626 Water St Ste 1
Orbisonia, PA 17243-9432
Phone
(814) 447-5556
Fax
(814) 447-3194
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 DH011221L PA Primary

Addresses

Primary practice location

626 Water St Ste 1
Orbisonia, PA 17243-9432

Mailing address

299 Hickory Hill Rd
Six Mile Run, PA 16679-9209
Phone (814) 977-7517

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
DH011221LPAMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: d.shauf@broadtopmedical.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124753264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HICKORY HILL RD",
            "city": "SIX MILE RUN",
            "state": "PA",
            "postal_code": "166799209",
            "telephone_number": "814-977-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WATER ST STE 1",
            "city": "ORBISONIA",
            "state": "PA",
            "postal_code": "172439432",
            "telephone_number": "814-447-5556",
            "fax_number": "814-447-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUF",
        "first_name": "DENA",
        "middle_name": "LYNN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH011221L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orbisonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.