Organization Active NPI

Essential Dental Hygiene, LLC

  • Dental Hygienist
  • Beaverton, OR
National Provider Identifier
1306115803
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H5866 Issued in OR
Legal business name
ESSENTIAL DENTAL HYGIENE, LLC
Practice address
335 NW 140TH PL
Beaverton, OR 97006-6161
Phone
(541) 815-3985
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Heather Lee Humphrey, RDH, EPDHNPI 1316223217
Title
Registered Dental Hygienist
Phone
(541) 815-3985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X H5866 OR Primary
Dental Clinic/Center 261QD0000X H5866 OR

Addresses

Primary practice location

335 NW 140TH PL
Beaverton, OR 97006-6161

Mailing address

335 NW 140TH PL
Beaverton, OR 97006-6161
Phone (541) 815-3985

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1306115803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NW 140TH PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066161",
            "telephone_number": "541-815-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NW 140TH PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066161",
            "telephone_number": "541-815-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL DENTAL HYGIENE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "541-815-3985",
        "authorized_official_credential": "RDH, EPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5866",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "H5866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.