Tammy Kaye Miskovich, RDH, CDHC, ED

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H5343 Issued in MN

Practice address

3614 Minnesota Ave
Duluth, MN 55802-2541

Phone

(218) 969-9886

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tammy Kaye Miskovich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1790111250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558010851",
            "telephone_number": "218-969-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 MINNESOTA AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022541",
            "telephone_number": "218-969-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOVICH",
        "first_name": "TAMMY",
        "middle_name": "KAYE",
        "name_prefix": "Miss",
        "credential": "RDH, CDHC, ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "MISKOVICH",
            "middle_name": "KAYE",
            "credential": "RDA/RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Minnesota Oncology Hematology, PA
• Minnesota Oncology Hematology, PA
• Minnesota Teen Challenge, Inc.
• Max Miranda, M.D.
• Barbara Misiewicz, RD, LD
• Mission Creek Transitional Care PLLC
• Christine Kay Mitchell, MSW, LICSW
• Kai Joel Mitchell, OTR/L
• Kristin Marie Mitchell
• Madeline Mary Mitchell

• Dental Hygienist in Duluth, MN
• Providers in Duluth, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.