Individual provider Active NPI

Jacquelyn J Vajda, RDH

  • Dental Hygienist
  • Towanda, PA
National Provider Identifier
1861315715
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH068522 Issued in PA
Practice address
323 Golden Mile Rd
Towanda, PA 18848-9233
Phone
(570) 265-2019
NPI assigned
Jul 30, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 DH068522 PA Primary

Addresses

Primary practice location

323 Golden Mile Rd
Towanda, PA 18848-9233

Mailing address

323 Golden Mile Rd
Towanda, PA 18848-9233
Phone (570) 265-2019

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

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1861315715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 GOLDEN MILE RD",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489233",
            "telephone_number": "570-265-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 GOLDEN MILE RD",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188489233",
            "telephone_number": "570-265-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAJDA",
        "first_name": "JACQUELYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH068522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.