Individual provider Active NPI

Sasha E Laprelle, RDH,LAP,BS

  • Dental Hygienist
  • Medford, OR
National Provider Identifier
1215208954
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H5203 Issued in OR
Practice address
495 S Stoneham Cir
Medford, OR 97504-6353
Phone
(541) 261-8018
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H5203 OR Primary

Addresses

Primary practice location

495 S Stoneham Cir
Medford, OR 97504-6353

Mailing address

495 S Stoneham Cir
Medford, OR 97504-6353
Phone (541) 261-8018

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
H5203ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1215208954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S STONEHAM CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046353",
            "telephone_number": "541-261-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S STONEHAM CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046353",
            "telephone_number": "541-261-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPRELLE",
        "first_name": "SASHA",
        "middle_name": "E",
        "credential": "RDH,LAP,BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.