Active NPI
Veronica Joy Gagnon, RDH
- Dental Hygienist
- Westport, MA
National Provider Identifier
1154637536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10982
- Practice address
- 15 Miss Rachel TRL
PO Box N171
Westport, MA 02790 - Phone
- (508) 636-4946
- NPI assigned
- Aug 24, 2010
- 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 | 10982 | MA | Primary |
Addresses
Primary practice location
15 Miss Rachel TRL
PO Box N171
Westport, MA 02790
Mailing address
15 Miss Rachael TRL
Pobox N171
Westport, MA 02790-1192
Phone (508) 636-4946
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 |
|---|---|---|---|
| 10982 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1154637536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MISS RACHAEL TRL",
"address_2": "POBOX N171",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027901192",
"telephone_number": "508-636-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MISS RACHEL TRL",
"address_2": "PO BOX N171",
"city": "WESTPORT",
"state": "MA",
"postal_code": "02790",
"telephone_number": "508-636-4946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "VERONICA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "10982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.