Active NPI
Stephanie Michelle O'Neill, R.D.H.
- Dental Hygienist
- Redmond, OR
National Provider Identifier
1770919730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6175
- Practice address
- 413 NW Larch Ave
Suite 201
Redmond, OR 97756-1361 - Phone
- (541) 923-8666
- NPI assigned
- Sep 23, 2013
- Last updated
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H6175 | OR | Primary |
Addresses
Primary practice location
413 NW Larch Ave
Suite 201
Redmond, OR 97756-1361
Mailing address
413 NW Larch Ave
Suite 201
Redmond, OR 97756-1361
Phone (541) 923-8666
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
| License | State | Type | Specialty |
|---|---|---|---|
| H6175 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrus Dentistry PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1770919730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 NW LARCH AVE",
"address_2": "SUITE 201",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561361",
"telephone_number": "541-923-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 NW LARCH AVE",
"address_2": "SUITE 201",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561361",
"telephone_number": "541-923-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H6175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.