Active NPI
Carla Jo Eigenauer, RDH
- Dental Hygienist
- Ellensburg, WA
National Provider Identifier
1821280975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00006987
- Practice address
- 1840 Lawrence Rd
Ellensburg, WA 98926-8684 - Phone
- (928) 713-4096
- NPI assigned
- Aug 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH00006987 | WA | Primary |
Addresses
Primary practice location
1840 Lawrence Rd
Ellensburg, WA 98926-8684
Mailing address
1840 Lawrence Rd
Ellensburg, WA 98926-8684
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 |
|---|---|---|---|
| DH00006987 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1821280975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 LAWRENCE RD",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989268684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 LAWRENCE RD",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989268684",
"telephone_number": "928-713-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIGENAUER",
"first_name": "CARLA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00006987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
- East Cascade Audiology PLLC (Northwest Audiology and Hearing Aid Center)
- Megan Eastlick
- Phoebe Ebel
- Treeva M Edwards, RN
- Jennifer D Ehlers, DH
- Elensburg Care LLC (Dry Creek Assisted Living Community)
- Elkhorn Valley Corporation (Family Health Care of Ellensburg)
- Ellensburg Chiropractic
- Ellensburg Chiropractic,PS
- Ellensburg Counseling Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.