Individual provider Active NPI

Snezhana Groz, DH

  • Dental Hygienist
  • Portland, OR
National Provider Identifier
1407281751
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H6542 Issued in OR
Practice address
12016 SE Ankeny St Apt 402
DO Not Owe a Business Or Practicing at This Time
Portland, OR 97216-3781
Phone
(503) 927-8335
NPI assigned
Sep 5, 2013
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 H6542 OR Primary

Addresses

Primary practice location

12016 SE Ankeny St Apt 402
DO Not Owe a Business Or Practicing at This Time
Portland, OR 97216-3781

Mailing address

12016 SE Ankeny St Apt 402
Portland, OR 97216-3781
Phone (503) 927-8335

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

LicenseStateTypeSpecialty
H6542ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1407281751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 SE ANKENY ST APT 402",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163781",
            "telephone_number": "503-927-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12016 SE ANKENY ST APT 402",
            "address_2": "DO NOT OWE A BUSINESS OR PRACTICING AT THIS TIME",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163781",
            "telephone_number": "503-927-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROZ",
        "first_name": "SNEZHANA",
        "credential": "DH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.