Active NPI
Amy Odgers, RDH
- Dental Hygienist
- Waukesha, WI
National Provider Identifier
1831593524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5008-016
- Practice address
- W286N991 Shepherds Way
Waukesha, WI 53188-9493 - Phone
- (920) 246-6446
- NPI assigned
- Oct 9, 2014
- 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 | 5008-016 | WI | Primary |
Addresses
Primary practice location
W286N991 Shepherds Way
Waukesha, WI 53188-9493
Mailing address
W286N991 Shepherds Way
Waukesha, WI 53188-9493
Phone (920) 246-6446
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 |
|---|---|---|---|
| 5008-016 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1831593524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W286N991 SHEPHERDS WAY",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531889493",
"telephone_number": "920-246-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W286N991 SHEPHERDS WAY",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531889493",
"telephone_number": "920-246-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODGERS",
"first_name": "AMY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "5008-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.