Active NPI
Sandra Lynn Cota, RDH
- Dental Hygienist
- Warm Springs, OR
National Provider Identifier
1164150645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H3303
- Practice address
- 1270 Kot-Num Road
Warm Springs, OR 97761 - Phone
- (541) 553-2462
- NPI assigned
- Aug 11, 2022
- 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 | H3303 | OR | Primary |
Addresses
Primary practice location
1270 Kot-Num Road
Warm Springs, OR 97761
Mailing address
292 NW Monte Vista Ave
Madras, OR 97741-9186
Phone (541) 678-3403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3303 | Other | OR | OREGON BOARD OF DENTISTRY, DENTAL HYGIENE LICENSE |
Other names 1
- Sandra Lynn Kandra
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 |
|---|---|---|---|
| H3303 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1164150645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 NW MONTE VISTA AVE",
"city": "MADRAS",
"state": "OR",
"postal_code": "977419186",
"telephone_number": "541-678-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 KOT-NUM ROAD",
"city": "WARM SPRINGS",
"state": "OR",
"postal_code": "97761",
"telephone_number": "541-553-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTA",
"first_name": "SANDRA",
"middle_name": "LYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H3303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF DENTISTRY, DENTAL HYGIENE LICENSE",
"identifier": "H3303",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "KANDRA",
"middle_name": "LYNN",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warm Springs, OR
- Confederated Tribes of the Warm Springs Reservation of Oregon
- Confederated Tribes of the Warm Springs Reservation of Oregon
- Confederated Tribes of Warm Springs Reservation of Oregon
- Kacey Elizabeth Conyers, MS, RD, LD
- Rust Dee Corey, OD
- Thomas James Creelman, M.D.
- Jeannette Delosangeles, PHARMD
- Denise Marie Devore, RN BSN
- Raneva J Dowty, PA
- Quynh-CHI Duong, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.