Active NPI
Judith Louise Vorachek, RDH
- Dental Hygienist
- Fargo, ND
National Provider Identifier
1366464612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 125
- Practice address
- 2101 Elm St N
Dental Department 160
Fargo, ND 58102-2417 - Phone
- (701) 239-3700
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 8, 2007
- 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 | 125 | ND | Primary |
Addresses
Primary practice location
2101 Elm St N
Dental Department 160
Fargo, ND 58102-2417
Mailing address
19 S Woodcrest Dr N
Fargo, ND 58102-2142
Phone (701) 232-1118
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 |
|---|---|---|---|
| 125 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366464612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 S WOODCREST DR N",
"city": "FARGO",
"state": "ND",
"postal_code": "581022142",
"telephone_number": "701-232-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ELM ST N",
"address_2": "DENTAL DEPARTMENT 160",
"city": "FARGO",
"state": "ND",
"postal_code": "581022417",
"telephone_number": "701-239-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORACHEK",
"first_name": "JUDITH",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ND",
"license": "125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.