Cynthia Melisa McCannel, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

00006267 Issued in WA

Practice address

17395 Reservation Rd
La Conner, WA 98257-8802

Phone

(360) 466-3900

Fax

(360) 466-7301

NPI assigned

Jan 23, 2025

Last updated

Jan 23, 2025By the provider in NPPES

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

• C Melisa McCannel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1205648680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20728 31ST PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367829",
            "telephone_number": "206-715-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 RESERVATION RD",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982578802",
            "telephone_number": "360-466-3900",
            "fax_number": "360-466-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANNEL",
        "first_name": "CYNTHIA",
        "middle_name": "MELISA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "00006267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "MCCANNEL",
            "middle_name": "MELISA",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dental Hygienist in La Conner, WA
• Providers in La Conner, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.