Active NPI
Cara L Kao-Young, RDH, BSDH. LAP
- Dental Hygienist
- Portland, OR
National Provider Identifier
1790933497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H2822
- Practice address
- 12000 SW 49TH Ave
Portland Community College Dental Hygiene Clinic
Portland, OR 97219 - Phone
- (971) 722-4037
- NPI assigned
- Sep 5, 2008
- Last updated
- Mar 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H2822 | OR | Primary |
| Dental Hygienist | 124Q00000X | DH 00006022 | WA |
Addresses
Primary practice location
12000 SW 49TH Ave
Portland Community College Dental Hygiene Clinic
Portland, OR 97219
Mailing address
12000 SW 49TH Ave
Portland Community College
Portland, OR 97219
Phone (971) 722-4037
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 |
|---|---|---|---|
| H2822 | OR | MD | Dental Hygienist |
| DH 00006022 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1790933497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 SW 49TH AVE",
"address_2": "PORTLAND COMMUNITY COLLEGE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97219",
"telephone_number": "971-722-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 SW 49TH AVE",
"address_2": "PORTLAND COMMUNITY COLLEGE DENTAL HYGIENE CLINIC",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97219",
"telephone_number": "971-722-4037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAO-YOUNG",
"first_name": "CARA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RDH, BSDH. LAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H2822",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH 00006022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.