Jinky A Hickcox, RDH, EPDH, DT, BSDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6784 Issued in OR

Practice address

4925 SW Griffith Dr
Beaverton, OR 97005-2923

Phone

(855) 433-6825

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jinky Santos Aclan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1841061595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052923",
            "telephone_number": "855-433-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052923",
            "telephone_number": "855-433-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKCOX",
        "first_name": "JINKY",
        "middle_name": "A",
        "credential": "RDH, EPDH, DT, BSDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "OR",
            "license": "DT0014",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINKY",
            "last_name": "ACLAN",
            "middle_name": "SANTOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan Hershman, L.C.S.W.
• Sarah K Hertz
• Ruth Hescock, MS, LPC
• Donald C. Hess, D.D.S.
• Emilee Heyden
• Madeline Jade Xiao Hickerson
• Michael Hickey
• Erin Hickman, M.D.
• Tiffani Hiett
• Higher Ground Counseling Inc

• Dental Hygienist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.