NPIMap

Organization Active NPI

Jennifer L Hough DMD PLLC

  • Dental Clinic/Center
  • Camas, WA
National Provider Identifier
1669819769
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7268 Issued in WA
Legal business name
JENNIFER L HOUGH DMD PLLC
Practice address
2016 NE 3Rd Ave
Camas, WA 98607-1705
Phone
(360) 834-3533
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Dr. Jennifer Lynn Hough, D.M.D.NPI 1669538765
Title
Ceo
Phone
(360) 834-3533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7268 WA Primary

Addresses

Primary practice location

2016 NE 3Rd Ave
Camas, WA 98607-1705

Mailing address

2016 NE 3Rd Ave
Camas, WA 98607-1705
Phone (360) 834-3533

Other names 1

  • Riverside Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2016 NE 3rd Ave
Camas, WA 98607
Phone (360) 834-3533

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1669819769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 NE 3RD AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071705",
            "telephone_number": "360-834-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 NE 3RD AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071705",
            "telephone_number": "360-834-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L HOUGH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "HOUGH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-834-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.