Active NPI
Carolynn Wahl, RDH
- Dental Hygienist
- Moosic, PA
National Provider Identifier
1174065189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH006201L
- Practice address
- 917 Ash St Apt 917
Moosic, PA 18507-1220 - Phone
- (570) 510-7888
- NPI assigned
- Nov 8, 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 | DH006201L | PA | Primary |
Addresses
Primary practice location
917 Ash St Apt 917
Moosic, PA 18507-1220
Mailing address
917 Ash St Apt 917
Moosic, PA 18507-1220
Phone (570) 510-7888
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 |
|---|---|---|---|
| DH006201L | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1174065189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 ASH ST APT 917",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071220",
"telephone_number": "570-510-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 ASH ST APT 917",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071220",
"telephone_number": "570-510-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHL",
"first_name": "CAROLYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH006201L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moosic, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.