Active NPI
Brandi Pate, RDH
- Dental Hygienist
- Lebanon, PA
National Provider Identifier
1144701004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH071023
- Practice address
- 101 S 9TH St
Lebanon, PA 17042-5108 - Phone
- (717) 450-7015
- Fax
- (717) 273-2817
- NPI assigned
- Aug 28, 2018
- 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 | DH071023 | PA | Primary |
Addresses
Primary practice location
101 S 9TH St
Lebanon, PA 17042-5108
Mailing address
584 Springville Rd
New Holland, PA 17557-9564
Phone (717) 354-4711
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 |
|---|---|---|---|
| DH071023 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1144701004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 SPRINGVILLE RD",
"city": "NEW HOLLAND",
"state": "PA",
"postal_code": "175579564",
"telephone_number": "717-354-4711",
"fax_number": "717-354-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 9TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425108",
"telephone_number": "717-450-7015",
"fax_number": "717-273-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "BRANDI",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH071023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.