Donna Jamrog

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH9984 Issued in MA

Practice address

90 Vandenberg Dr
66TH Med Squadron, Hanscom Afb
Bedford, MA 01731-2104

Phone

(781) 225-6324

Fax

(781) 225-2564

NPI assigned

Oct 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1508260217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR",
            "address_2": "66TH MED SQUADRON, HANSCOM AFB",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "01731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VANDENBERG DR",
            "address_2": "66TH MED SQUADRON, HANSCOM AFB",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017312104",
            "telephone_number": "781-225-6324",
            "fax_number": "781-225-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMROG",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH9984",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH9984OL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Living Innovations
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• Inner Potential Physical Therapy PLLC
• Chris Jagiello, MSW
• Mara James, LICSW
• Stephen F Jarboe, DC
• Christina Jenkins
• Dorothy Ann Johnson, NP
• Elizabeth Johnson
• Juanita Litisha Johnson, LICSW

• Dental Hygienist in Bedford, MA
• Providers in Bedford, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.