Organization Active NPI

Dental Hygiene Mobile Services, PLLC

  • Dental Hygienist
  • Vancouver, WA
National Provider Identifier
1437713690
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
DENTAL HYGIENE MOBILE SERVICES, PLLC
Practice address
2923 NE 116TH Ave
Vancouver, WA 98682-8720
Phone
(360) 545-3543
Fax
(360) 206-1250
NPI assigned
Apr 23, 2019
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Theresa Marks, RDHNPI 1386075356
Title
Executive Officer
Phone
(360) 545-3543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X NU Primary

Addresses

Primary practice location

2923 NE 116TH Ave
Vancouver, WA 98682-8720

Mailing address

PO Box 871712
Vancouver, WA 98687-1712
Phone (360) 545-3543

Other identifiers 3

IdentifierTypeStateIssuer
DELTADENTALOtherWADELTA DENTAL OF OREGON AND WASHINGTON
PROVIDERONEMedicaidWA
BCBSFEDEMPLOYEESOtherWABLUECROSS BLUESHIELD FEDERAL PROGRAM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dhmobileservices@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1437713690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871712",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986871712",
            "telephone_number": "360-545-3543",
            "fax_number": "360-206-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 NE 116TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828720",
            "telephone_number": "360-545-3543",
            "fax_number": "360-206-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HYGIENE MOBILE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "360-545-3543",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF OREGON AND WASHINGTON",
            "identifier": "DELTADENTAL",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PROVIDERONE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD FEDERAL PROGRAM",
            "identifier": "BCBSFEDEMPLOYEES",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dhmobileservices@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2923 NE 116th Ave",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986828720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.