Mary Ellen Volansky, RDH MS LAP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H3649 Issued in OR

Practice address

107 SE Swan Avenue
Ctsi Dental Clinic
Siletz, OR 97380

Phone

(541) 444-9640

Fax

(541) 444-9695

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740408525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WEST 26TH AVENUE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052533",
            "telephone_number": "541-342-8676",
            "fax_number": "541-342-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE SWAN AVENUE",
            "address_2": "CTSI DENTAL CLINIC",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "97380",
            "telephone_number": "541-444-9640",
            "fax_number": "541-444-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLANSKY",
        "first_name": "MARY ELLEN",
        "name_prefix": "Ms.",
        "credential": "RDH MS LAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3649",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "0124001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Evelyn Taylor, DDS
• Lisa D Taylor, NP
• Katie Ann Thomas
• Nicholas Cal Vandersloot, PHARM.D.
• Chelcy Rosaleen Villanueva
• Jamie Vorderstrasse
• Serria Marie Warren
• Janet Wicklund, CADC II
• Ismene Nikolaos Zois, M.D.

• Dental Hygienist in Siletz, OR
• Providers in Siletz, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.