Active NPI
Carrie Isom
- Dental Hygienist
- Bay City, MI
National Provider Identifier
1164809158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902012547
- Practice address
- 3884 Monitor Rd
Bay City, MI 48706-9298 - Phone
- (989) 671-2000
- Fax
- (989) 671-4000
- NPI assigned
- Apr 29, 2015
- Last updated
- Sep 27, 2016
- 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 | 2902012547 | MI | Primary |
Addresses
Primary practice location
3884 Monitor Rd
Bay City, MI 48706-9298
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 759-6464
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 |
|---|---|---|---|
| 2902012547 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1164809158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071203",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3884 MONITOR RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069298",
"telephone_number": "989-671-2000",
"fax_number": "989-671-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISOM",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902012547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.