Active NPI
Peggy Blackburn, RDH
- Dental Hygienist
- Chillicothe, OH
National Provider Identifier
1134544067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 005877
- Practice address
- 15802 State Route 104
Chillicothe, OH 45601-9701 - Phone
- (740) 774-7080
- NPI assigned
- Mar 1, 2014
- 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 | 005877 | OH | Primary |
Addresses
Primary practice location
15802 State Route 104
Chillicothe, OH 45601-9701
Mailing address
933 Glenn Ave
Washington Court House, OH 43160-1725
Phone (740) 333-0314
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 |
|---|---|---|---|
| 005877 | OH | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393632000000",
"number": "1134544067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 GLENN AVE",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601725",
"telephone_number": "740-333-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15802 STATE ROUTE 104",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456019701",
"telephone_number": "740-774-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "PEGGY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-01",
"last_updated": "2014-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OH",
"license": "005877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.