Active NPI
Jennifer D Ehlers, DH
- Dental Hygienist
- Ellensburg, WA
National Provider Identifier
1184173577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00006622
- Practice address
- 1206 N Dolarway Rd
Suite 101
Ellensburg, WA 98926-8392 - Phone
- (509) 933-2400
- Fax
- (509) 933-4804
- NPI assigned
- Sep 26, 2016
- Last updated
- Oct 18, 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 | DH00006622 | WA | Primary |
Addresses
Primary practice location
1206 N Dolarway Rd
Suite 101
Ellensburg, WA 98926-8392
Mailing address
501 S 5TH Ave
Yakima, WA 98902-3550
Phone (509) 494-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066120 | Medicaid | WA |
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 |
|---|---|---|---|
| DH00006622 | WA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of Central Washington | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ellensburg Dental Care
- Dental Clinic/Center
- Ellensburg, WA
- NPI 1376878769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1184173577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S 5TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023550",
"telephone_number": "509-494-6700",
"fax_number": "509-573-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 N DOLARWAY RD",
"address_2": "SUITE 101",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989268392",
"telephone_number": "509-933-2400",
"fax_number": "509-933-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHLERS",
"first_name": "JENNIFER",
"middle_name": "D",
"credential": "DH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00006622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066120",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellensburg, WA
- Sarah Eakin
- East Cascade Audiology PLLC (Northwest Audiology and Hearing Aid Center)
- Megan Eastlick
- Phoebe Ebel
- Treeva M Edwards, RN
- Carla Jo Eigenauer, RDH
- Elensburg Care LLC (Dry Creek Assisted Living Community)
- Elkhorn Valley Corporation (Family Health Care of Ellensburg)
- Ellensburg Chiropractic
- Ellensburg Chiropractic,PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.