Active NPI
Sandra Entry, RDH
- Dental Hygienist
- Raleigh, NC
National Provider Identifier
1194277509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 11464
- Practice address
- 1011 Rock Quarry Rd
Raleigh, NC 27610-3825 - Phone
- (919) 833-3111
- Fax
- (919) 834-3118
- NPI assigned
- Nov 2, 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 | 11464 | NC | Primary |
Addresses
Primary practice location
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Mailing address
1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11464 | Other | NC | NORTH CAROLINA BOARD OF DENTISTRY LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1194277509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ROCK QUARRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103825",
"telephone_number": "919-833-3111",
"fax_number": "919-834-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 ROCK QUARRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103825",
"telephone_number": "919-833-3111",
"fax_number": "919-834-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTRY",
"first_name": "SANDRA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "11464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF DENTISTRY LICENSE",
"identifier": "11464",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.