Active NPI
Marsha Ann Pfannes, RDH
- Dental Hygienist
- Portland, OR
National Provider Identifier
1447363502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H1262
- Practice address
- 1314 NE Grand Ave
Portland, OR 97232-1127 - Phone
- (503) 280-2877
- Fax
- (503) 331-3095
- NPI assigned
- Aug 15, 2006
- 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 | H1262 | OR | Primary |
Addresses
Primary practice location
1314 NE Grand Ave
Portland, OR 97232-1127
Mailing address
1613 N Willamette Blvd
Portland, OR 97217-3758
Phone (503) 286-3824
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 |
|---|---|---|---|
| H1262 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Permanente | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Hygienist
- Portland, OR
- NPI 1922011832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447363502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N WILLAMETTE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972173758",
"telephone_number": "503-286-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 NE GRAND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321127",
"telephone_number": "503-280-2877",
"fax_number": "503-331-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFANNES",
"first_name": "MARSHA",
"middle_name": "ANN",
"name_prefix": "Mr.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H1262",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.