Active NPI
Sydnie Marion Hathaway, RDH
- Dental Hygienist
- Cambridge, MD
National Provider Identifier
1386220168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7959
- Practice address
- 503 Muir St Ste a
Cambridge, MD 21613-1848 - Phone
- (410) 228-9381
- Fax
- (833) 916-1011
- NPI assigned
- Mar 22, 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 | 7959 | MD | Primary |
Addresses
Primary practice location
503 Muir St Ste a
Cambridge, MD 21613-1848
Mailing address
503 Muir St Ste a
Cambridge, MD 21613-1848
Phone (410) 228-9381
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 |
|---|---|---|---|
| 7959 | MD | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1386220168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 MUIR ST STE A",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131848",
"telephone_number": "410-228-9381",
"fax_number": "833-916-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MUIR ST STE A",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131848",
"telephone_number": "410-228-9381",
"fax_number": "833-916-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "SYDNIE",
"middle_name": "MARION",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "7959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.