Individual provider Active NPI

Teresa Ficken, RDH

  • Dental Hygienist
  • Astoria, OR
National Provider Identifier
1669927406
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H3513 Issued in OR
Practice address
855 Exchange St
Astoria, OR 97103-4627
Phone
(503) 325-3230
Fax
(503) 325-5264
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 H3513 OR Primary

Addresses

Primary practice location

855 Exchange St
Astoria, OR 97103-4627

Mailing address

855 Exchange St
Astoria, OR 97103-4627
Phone (503) 325-3230

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
H3513ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1669927406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034627",
            "telephone_number": "503-325-3230",
            "fax_number": "503-325-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034627",
            "telephone_number": "503-325-3230",
            "fax_number": "503-325-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKEN",
        "first_name": "TERESA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.