Active NPI
Shannon Claire Eckes, RDH
- Dental Hygienist
- Milwaukie, OR
National Provider Identifier
1497398747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H7937
- Practice address
- 3300 SE Dwyer Dr Ste 302
Milwaukie, OR 97222-6548 - Phone
- (503) 850-4479
- NPI assigned
- Oct 18, 2019
- Last updated
- Oct 18, 2019
- 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 | H7937 | OR | Primary |
Addresses
Primary practice location
3300 SE Dwyer Dr Ste 302
Milwaukie, OR 97222-6548
Mailing address
7320 SW Hunziker Rd Ste 300
Tigard, OR 97223-2302
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 |
|---|---|---|---|
| H7937 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Past | Accepting new patients | |
| Neighborhood Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174820815
-
- Federally Qualified Health Center (FQHC)
- Milwaukie, OR
- NPI 1750729257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1497398747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SW HUNZIKER RD STE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972232302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 SE DWYER DR STE 302",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226548",
"telephone_number": "503-850-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKES",
"first_name": "SHANNON",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H7937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.