Active NPI
Jessica Louise Crew, RDH
- Dental Hygienist
- Corvallis, OR
National Provider Identifier
1396249678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7403
- Practice address
- 142 SW 2ND St
Corvallis, OR 97333-4716 - Phone
- (888) 468-0022
- NPI assigned
- Mar 21, 2018
- 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 | H7403 | OR | Primary |
Addresses
Primary practice location
142 SW 2ND St
Corvallis, OR 97333-4716
Mailing address
142 SW 2ND St
Corvallis, OR 97333-4716
Phone (888) 468-0022
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 |
|---|---|---|---|
| H7403 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1396249678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 SW 2ND ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334716",
"telephone_number": "888-468-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 SW 2ND ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334716",
"telephone_number": "888-468-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREW",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.