Active NPI
Tiffanie Camden, RDH
- Dental Hygienist
- Pevely, MO
National Provider Identifier
1801298682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2010040435
- Practice address
- 8546 Stone Mountain CT
Pevely, MO 63070-1343 - Phone
- (314) 600-8263
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 2010040435 | MO | Primary |
| Dental Hygienist | 124Q00000X | 020.013509 | IL |
Addresses
Primary practice location
8546 Stone Mountain CT
Pevely, MO 63070-1343
Mailing address
8546 Stone Mountain CT
Pevely, MO 63070-1343
Phone (314) 600-8263
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 |
|---|---|---|---|
| 020.013509 | IL | MD | Dental Hygienist |
| 2010040435 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1801298682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8546 STONE MOUNTAIN CT",
"city": "PEVELY",
"state": "MO",
"postal_code": "630701343",
"telephone_number": "314-600-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8546 STONE MOUNTAIN CT",
"city": "PEVELY",
"state": "MO",
"postal_code": "630701343",
"telephone_number": "314-600-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMDEN",
"first_name": "TIFFANIE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2010040435",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020.013509",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pevely, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.