Individual provider Active NPI

Rosemary Toedtemeier, RDH

  • Dental Hygienist
  • Portland, OR
National Provider Identifier
1609310184
Registry record updated Dec 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H4661 Issued in OR
Practice address
214 N Russell St
Portland, OR 97227-1620
Phone
(503) 494-6822
Fax
(503) 284-1398
NPI assigned
Dec 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2016

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 H4661 OR Primary

Addresses

Primary practice location

214 N Russell St
Portland, OR 97227-1620

Mailing address

2155 SE 113TH Ave
Portland, OR 97216-3620
Phone (503) 734-7608

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
H4661ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Health & Science University 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482019200000",
    "number": "1609310184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 SE 113TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163620",
            "telephone_number": "503-734-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N RUSSELL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271620",
            "telephone_number": "503-494-6822",
            "fax_number": "503-284-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOEDTEMEIER",
        "first_name": "ROSEMARY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4661",
            "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 Dec 18, 2016; 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.