Individual provider Active NPI

Deanna Kim Reijonen, RDH

  • Dental Hygienist
  • Vancouver, WA
National Provider Identifier
1659480473
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HL00007562 Issued in WA
Practice address
14201 NE 20TH Ave Ste 1101
Vancouver, WA 98686-6411
Phone
(360) 882-0222
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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 HL00007562 WA Primary

Addresses

Primary practice location

14201 NE 20TH Ave Ste 1101
Vancouver, WA 98686-6411

Mailing address

14514 NW 7TH PL
Vancouver, WA 98685-5764
Phone (360) 601-1563

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
HL00007562WAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1659480473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14514 NW 7TH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986855764",
            "telephone_number": "360-601-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE 1101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866411",
            "telephone_number": "360-882-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIJONEN",
        "first_name": "DEANNA",
        "middle_name": "KIM",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "HL00007562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.