Individual provider Active NPI

Amanda Lynn Schoth, RDH

  • Dental Hygienist
  • Keesler Afb, MS
National Provider Identifier
1740456748
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
3452-04DH Issued in MS
Practice address
606 Fisher St
Keesler Afb, MS 39534-2513
Phone
(228) 376-0511
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 3452-04DH MS Primary

Addresses

Primary practice location

606 Fisher St
Keesler Afb, MS 39534-2513

Mailing address

606 Fisher St
Keesler Afb, MS 39534-2513
Phone (228) 376-0511

Other names 1

  • Mrs. Amanda Lynn Page Former name

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
3452-04DHMSMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1740456748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342513",
            "telephone_number": "228-376-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342513",
            "telephone_number": "228-376-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTH",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MS",
            "license": "3452-04DH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PAGE",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keesler Afb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.