Active NPI
Nicole Lyn Elsner, RDH
- Dental Hygienist
- Salem, OR
National Provider Identifier
1780017780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5844
- Practice address
- 1105 Liberty St SE
Salem, OR 97302-4142 - Phone
- (503) 399-9790
- NPI assigned
- Aug 13, 2013
- Last updated
- Aug 13, 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 | H5844 | OR | Primary |
Addresses
Primary practice location
1105 Liberty St SE
Salem, OR 97302-4142
Mailing address
740 Electric Ave SE
Salem, OR 97302-3722
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 |
|---|---|---|---|
| H5844 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1780017780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 ELECTRIC AVE SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973023722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024142",
"telephone_number": "503-399-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSNER",
"first_name": "NICOLE",
"middle_name": "LYN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.