Active NPI
Amy Carol Piechowski, RDH
- Dental Hygienist
- Fergus Falls, MN
National Provider Identifier
1386800456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5214
- Practice address
- 1121 Pebble Lake Rd
Fergus Falls, MN 56537 - Phone
- (218) 770-4799
- NPI assigned
- Jul 29, 2008
- Last updated
- Jul 29, 2008
- 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 | 5214 | MN | Primary |
Addresses
Primary practice location
1121 Pebble Lake Rd
Fergus Falls, MN 56537
Mailing address
217 Wegener Dr
Breckenridge, MN 56520-1009
Phone (218) 643-5805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518655200 | Medicaid | MN |
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 |
|---|---|---|---|
| 5214 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1386800456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WEGENER DR",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201009",
"telephone_number": "218-643-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 PEBBLE LAKE RD",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "56537",
"telephone_number": "218-770-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIECHOWSKI",
"first_name": "AMY",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "5214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518655200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.