Lyudmila Batazhan, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6745 Issued in OR

Practice address

13023 SE 84TH Ave
Clackamas, OR 97015-9798

Phone

(503) 353-9992

NPI assigned

Oct 24, 2014

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advantage Dental Group, PC

  dba Advantage Dental Oral Health Center

  • General Practice Dentistry
  • Bend, OR
  • NPI 1972970671
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1770988305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 SE 84TH AVE STE A",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159798",
            "telephone_number": "503-353-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 SE 84TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159798",
            "telephone_number": "503-353-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATAZHAN",
        "first_name": "LYUDMILA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barts Shoe Corp (Jays Wide Shoes)
• Caitlin Bascara
• Matthew G Basco, MD
• Claudene M Baska, RRT
• Shane Jackson Bass
• Wendy Anne Batchelor Smith, R.N.
• Gregory William Battles, PHARMD, RPH
• Catherine Lydia Bauman-Virnig, M.S.
• Matthew Ralph Baumgarth, D.D.S., M.S.
• Danielle Naomi Baxter, MA, LMFT, QMHP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.