Active NPI
Valerie Eugenia Long, RDH
- Dental Hygienist
- Fort Defiance, AZ
National Provider Identifier
1205915980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH1092
- Practice address
- Corner of Route N12 & N7
Fort Defiance, AZ 86504-0589 - Phone
- (928) 729-8890
- NPI assigned
- Nov 3, 2006
- 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 | DH1092 | NM | Primary |
Addresses
Primary practice location
Corner of Route N12 & N7
Fort Defiance, AZ 86504-0589
Mailing address
P.O. Box 589
Fort Defiance, AZ 86504-0589
Phone (928) 729-8890
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 |
|---|---|---|---|
| DH1092 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1205915980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 589",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040589",
"telephone_number": "928-729-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 & N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040589",
"telephone_number": "928-729-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "VALERIE",
"middle_name": "EUGENIA",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH1092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.