Active NPI
Emy Lorena Roady, RDH
- Dental Hygienist
- Portland, OR
National Provider Identifier
1235575168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5798
- Practice address
- 2105 SE 185TH Ave
Portland, OR 97233-5627 - Phone
- (503) 661-6048
- Fax
- (503) 667-4108
- NPI assigned
- May 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | H5798 | OR | Primary |
Addresses
Primary practice location
2105 SE 185TH Ave
Portland, OR 97233-5627
Mailing address
18260 NW Cornell Rd
Apt. H
Beaverton, OR 97006-8674
Phone (503) 430-1410
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 |
|---|---|---|---|
| H5798 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368921600000",
"number": "1235575168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18260 NW CORNELL RD",
"address_2": "APT. H",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970068674",
"telephone_number": "503-430-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 SE 185TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335627",
"telephone_number": "503-661-6048",
"fax_number": "503-667-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROADY",
"first_name": "EMY",
"middle_name": "LORENA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-19",
"last_updated": "2013-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.