Active NPI
Maria G Jolley, R.D.H.
- Dental Hygienist
- Gresham, OR
National Provider Identifier
1427205442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5285
- Practice address
- 1267 SE Stapleton Loop
Gresham, OR 97080 - Phone
- (503) 290-6450
- NPI assigned
- Aug 21, 2008
- 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 | H5285 | OR | Primary |
Addresses
Primary practice location
1267 SE Stapleton Loop
Gresham, OR 97080
Mailing address
437 SE Cedar Creek LN
Estacada, OR 97023-9015
Phone (503) 290-6450
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 |
|---|---|---|---|
| H5285 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1427205442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 SE CEDAR CREEK LN",
"city": "ESTACADA",
"state": "OR",
"postal_code": "970239015",
"telephone_number": "503-290-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 SE STAPLETON LOOP",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97080",
"telephone_number": "503-290-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "MARIA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.