NPIMap

Organization Active NPI

Professional Dental Hygiene Express Inc

  • Dental Hygienist
  • Bloomer, WI
National Provider Identifier
1134472285
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
PROFESSIONAL DENTAL HYGIENE EXPRESS INC
Practice address
5388 State Highway 64
Bloomer, WI 54724-4788
Phone
(715) 933-0065
Fax
(715) 568-3545
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Carol Newton, RDHNPI 1518268929
Title
Registered Dental Hygienist
Phone
(715) 933-0065

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 MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

5388 State Highway 64
Bloomer, WI 54724-4788

Mailing address

5388 State Highway 64
Bloomer, WI 54724-4788
Phone (715) 933-0065

National Provider Directory

National Provider Directory
Tax ID family
Professional Dental Hygiene Express Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1134472285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5388 STATE HIGHWAY 64",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547244788",
            "telephone_number": "715-933-0065",
            "fax_number": "715-568-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5388 STATE HIGHWAY 64",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547244788",
            "telephone_number": "715-933-0065",
            "fax_number": "715-568-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL HYGIENE EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "715-933-0065",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.