Active NPI
Aimee Rachelle Cherry, RDH
- Dental Hygienist
- Jay, OK
National Provider Identifier
1609347657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4252
- Practice address
- Sam Hider Dental Clinic
859 E Melton Dr.
Jay, OK 74346 - Phone
- (918) 253-1700
- NPI assigned
- Dec 16, 2018
- 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 | 4252 | OK | Primary |
Addresses
Primary practice location
Sam Hider Dental Clinic
859 E Melton Dr.
Jay, OK 74346
Mailing address
14921 N Highway 59
Summers, AR 72769-9690
Phone (479) 790-9261
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1609347657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14921 N HIGHWAY 59",
"city": "SUMMERS",
"state": "AR",
"postal_code": "727699690",
"telephone_number": "479-790-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAM HIDER DENTAL CLINIC",
"address_2": "859 E MELTON DR.",
"city": "JAY",
"state": "OK",
"postal_code": "74346",
"telephone_number": "918-253-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "AIMEE",
"middle_name": "RACHELLE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OK",
"license": "4252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jay, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.