Victoria Kaye Worthington, EFDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

93-0798039 Issued in OR

Practice address

9300 SE 91St Ave Ste 310
Happy Valley, OR 97086-3762

Phone

(503) 772-7888

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Victoria Kaye Heintz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1174096473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 310",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-772-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 310",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-772-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "VICTORIA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "93-0798039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HEINTZ",
            "middle_name": "KAYE",
            "prefix": "MRS.",
            "credential": "PTDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Paul Willis
• Christopher F Wilson, PSYD
• Earl Dean Wilson
• Sandy Kay Wilson, D. MIN.
• Eyerusalem Woldu
• Kelly Marie Wright, RPH
• Kelsy Wright, DPT
• Wy East Enterprises LLC
• Melissa Rebecca Yoast, LMT
• Noel Grace Maxine Zellreyah

• Dental Assistant in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Dental Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.