NPIMap

Organization Active NPI

Rose City Dental Hygiene LLC

  • Dental Hygienist
  • Portland, OR
National Provider Identifier
1326446196
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H6353 Issued in OR
Legal business name
ROSE CITY DENTAL HYGIENE LLC
Practice address
15053 NW Nightshade Dr
Portland, OR 97229-1578
Phone
(503) 200-4291
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Nichole Davidson, RDH, EPDH, BSNPI 1881007615
Title
Owner
Phone
(503) 200-4291

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X H6353 OR Primary

Addresses

Primary practice location

15053 NW Nightshade Dr
Portland, OR 97229-1578

Mailing address

15053 NW Nightshade Dr
Portland, OR 97229-1578
Phone (503) 200-4291

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": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1326446196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15053 NW NIGHTSHADE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291578",
            "telephone_number": "503-200-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15053 NW NIGHTSHADE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291578",
            "telephone_number": "503-200-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY DENTAL HYGIENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-200-4291",
        "authorized_official_credential": "RDH, EPDH, BS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6353",
            "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 Dec 10, 2014; 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.