Individual provider Active NPI

Denise Wood Saller, RDH,BA

  • Dental Hygienist
  • Olympia, WA
National Provider Identifier
1407246531
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH00002315 Issued in WA
Practice address
6548 Puget Beach Rd NE
Olympia, WA 98516-9120
Phone
(360) 491-0175
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00002315 WA Primary

Addresses

Primary practice location

6548 Puget Beach Rd NE
Olympia, WA 98516-9120

Mailing address

6548 Puget Beach Rd NE
Olympia, WA 98516-9120
Phone (360) 491-0175

Other identifiers 1

IdentifierTypeStateIssuer
DH00002315OtherWADENTAL HYGIENE LICENSE

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
DH00002315WAMDDental Hygienist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1407246531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 PUGET BEACH RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169120",
            "telephone_number": "360-491-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 PUGET BEACH RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169120",
            "telephone_number": "360-491-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLER",
        "first_name": "DENISE",
        "middle_name": "WOOD",
        "name_prefix": "Ms.",
        "credential": "RDH,BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00002315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HYGIENE LICENSE",
            "identifier": "DH00002315",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.