Individual provider Active NPI

Jennifer Sigel, EFDH

  • Dental Hygienist
  • Portland, OR
National Provider Identifier
1730556309
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H6961 Issued in OR
Practice address
2150 NE 82ND Ave
Portland, OR 97220-5607
Phone
(503) 254-0888
NPI assigned
Aug 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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 H6961 OR Primary

Addresses

Primary practice location

2150 NE 82ND Ave
Portland, OR 97220-5607

Mailing address

2150 NE 82ND Ave
Portland, OR 97220-5607
Phone (503) 254-0888

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
H6961ORMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1730556309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205607",
            "telephone_number": "503-254-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205607",
            "telephone_number": "503-254-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGEL",
        "first_name": "JENNIFER",
        "credential": "EFDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6961",
            "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 Sep 21, 2015; 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.