Individual provider Active NPI

Shalie Houseknecht, BSDH, RDH

  • Dental Hygienist
  • Newport News, VA
National Provider Identifier
1235877101
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
0402004407 Issued in VA
Practice address
401 Oyster Point Rd Ste C
Newport News, VA 23602-6926
Phone
(757) 249-8921
NPI assigned
May 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 0402004407 VA Primary

Addresses

Primary practice location

401 Oyster Point Rd Ste C
Newport News, VA 23602-6926

Mailing address

401 Oyster Point Rd Ste C
Newport News, VA 23602-6926

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

LicenseStateTypeSpecialty
0402004407VAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Neighbor Dental at Oyster Point PastSince Mar 5, 2023 Accepting new patients
Thomas R Parrott DMD PC PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1235877101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 OYSTER POINT RD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OYSTER POINT RD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026926",
            "telephone_number": "757-249-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEKNECHT",
        "first_name": "SHALIE",
        "credential": "BSDH, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402004407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.