Jo Ann Obie-Eldredge, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H4085 Issued in OR

Practice address

1849 Willamette St Ste 1B
Eugene, OR 97401-4683

Phone

(458) 215-9834

Fax

(541) 515-6413

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1841704392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BOBOLINK AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041512",
            "telephone_number": "458-215-9834",
            "fax_number": "541-515-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 WILLAMETTE ST STE 1B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014683",
            "telephone_number": "458-215-9834",
            "fax_number": "541-515-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIE-ELDREDGE",
        "first_name": "JO",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.