Individual provider Active NPI

Linda Straub-Bruce, RDH, BSED, PHDHP

  • Dental Hygienist
  • Erie, PA
National Provider Identifier
1447677083
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH-009719-L Issued in PA
Practice address
5158 Peach St
Erie, PA 16509-2489
Phone
(814) 868-3647
NPI assigned
Mar 20, 2014
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2014

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 DH-009719-L PA Primary

Addresses

Primary practice location

5158 Peach St
Erie, PA 16509-2489

Mailing address

5158 Peach St
Erie, PA 16509-2489
Phone (814) 868-3647

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
DH-009719-LPAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1447677083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092489",
            "telephone_number": "814-868-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092489",
            "telephone_number": "814-868-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB-BRUCE",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "RDH, BSED, PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH-009719-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.