Active NPI
Danette Shaffer
- Dental Hygienist
- Erie, PA
National Provider Identifier
1326437419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH012020L
- Practice address
- 2712 W 34TH St
Erie, PA 16506-3378 - Phone
- (814) 838-9668
- NPI assigned
- Jan 13, 2015
- 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 | DH012020L | PA | Primary |
Addresses
Primary practice location
2712 W 34TH St
Erie, PA 16506-3378
Mailing address
2712 W 34TH St
Erie, PA 16506-3378
Phone (814) 838-9668
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 |
|---|---|---|---|
| DH012020L | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1326437419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 W 34TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165063378",
"telephone_number": "814-838-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 W 34TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165063378",
"telephone_number": "814-838-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "DANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH012020L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.