Amanda K Sindel, RDH

Individual provider Active NPI Dental Hygienist · Berlin, OH

NPI 1295935146 · NPPES record last updated Jul 19, 2007

Key facts

NPI
1295935146
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
31-012442 (OH)
Practice address
4913 W. Main St.
Berlin, OH 44610-0341
Phone
(330) 893-3141
Fax
(330) 893-3513
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31-012442OHMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 31-012442 OH Yes

Addresses

Primary practice location

4913 W. Main St.
Berlin, OH 44610-0341

Mailing address

4913 W. Main St.
P O Box 341
Berlin, OH 44610-0341
Phone (330) 231-4820

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2007.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1295935146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 W. MAIN ST.",
            "address_2": "P O BOX 341",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100341",
            "telephone_number": "330-231-4820",
            "fax_number": "330-893-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 W. MAIN ST.",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100341",
            "telephone_number": "330-893-3141",
            "fax_number": "330-893-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDEL",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OH",
            "license": "31-012442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, OH

All providers in Berlin, OH · Dental Hygienist in Ohio

Sources for this page

Verify at the official NPI Registry.