NPIMap

Individual provider Active NPI

Lilia V Hamblin, DENTAL HYGIENIST

  • Dental Hygienist
  • Hillsboro, OR
National Provider Identifier
1831460872
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H5722 Issued in OR
Practice address
6279 NE Carillion Dr Unit 103
Hillsboro, OR 97124-8092
Phone
(503) 729-2864
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H5722 OR Primary

Addresses

Primary practice location

6279 NE Carillion Dr Unit 103
Hillsboro, OR 97124-8092

Mailing address

6279 NE Carillion Dr Unit 103
Hillsboro, OR 97124-8092
Phone (503) 729-2864

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

LicenseStateTypeSpecialty
H5722ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Prodental Hygiene LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1831460872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6279 NE CARILLION DR UNIT 103",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248092",
            "telephone_number": "503-729-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6279 NE CARILLION DR UNIT 103",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248092",
            "telephone_number": "503-729-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "LILIA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.