Active NPI
M Clydene Evans-Wenzel, RDH
- Dental Hygienist
- Burien, WA
National Provider Identifier
1790938942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00006149
- Practice address
- 425 SW 144TH St
Burien, WA 98166-1545 - Phone
- (206) 355-0448
- NPI assigned
- Nov 1, 2008
- 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 | DH00006149 | WA | Primary |
Addresses
Primary practice location
425 SW 144TH St
Burien, WA 98166-1545
Mailing address
2733 56TH Ave SW
Seattle, WA 98116-2221
Phone (206) 932-8861
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 |
|---|---|---|---|
| DH00006149 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225497600000",
"number": "1790938942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2733 56TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162221",
"telephone_number": "206-932-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 SW 144TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661545",
"telephone_number": "206-355-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS-WENZEL",
"first_name": "M",
"middle_name": "CLYDENE",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-01",
"last_updated": "2008-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00006149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
- Lori Michele Erickson, RPH
- Naisha Erickson, RN
- Erin Delsol, Arnp, PLLC (Sequoia Integrative Psychiatry)
- Wendy Escobedo Garcia, NURSING
- Essential Natural Medicine
- Jennifer Lea Evans, D.O.
- Aimee Marie Eveatt
- Jonathan David Everett, D.D.S.
- Evergreen Eye Center, PLLC (Evergreen Eye Center)
- Evo Naturopathic Medicine and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.