Active NPI
Jamie Pina, RDH
- Dental Hygienist
- Enterprise, AL
National Provider Identifier
1366024770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 000026
- Practice address
- 2 E Pointe CT
Enterprise, AL 36330-1392 - Phone
- (334) 347-3061
- NPI assigned
- Apr 25, 2021
- Last updated
- Apr 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 000026 | AL | Primary |
Addresses
Primary practice location
2 E Pointe CT
Enterprise, AL 36330-1392
Mailing address
1200 N Texas St
Deridder, LA 70634-2746
Phone (623) 521-3384
Other names 1
- Jamie Lyn Sammons
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 |
|---|---|---|---|
| 000026 | AL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Dental Center LLC | Current | Accepting new patients |
Locations
2 E Pointe Ct
Enterprise, AL 36330
Phone (334) 347-3061
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619308800000",
"number": "1366024770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N TEXAS ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342746",
"telephone_number": "623-521-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E POINTE CT",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363301392",
"telephone_number": "334-347-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "JAMIE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2021-04-25",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AL",
"license": "000026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "SAMMONS",
"middle_name": "LYN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.