Active NPI
Dara Ann Moser Dudley, RDH
- Dental Hygienist
- Eugene, OR
National Provider Identifier
1861910226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6824
- Practice address
- 2703 Delta Oaks Dr Ste 300
Eugene, OR 97408-1700 - Phone
- (855) 433-6825
- NPI assigned
- Sep 6, 2017
- Last updated
- Sep 6, 2017
- 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 | H6824 | OR | Primary |
Addresses
Primary practice location
2703 Delta Oaks Dr Ste 300
Eugene, OR 97408-1700
Mailing address
91107 Sunderman Rd
Springfield, OR 97478-9752
Phone (541) 543-8924
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 |
|---|---|---|---|
| H6824 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1861910226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91107 SUNDERMAN RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974789752",
"telephone_number": "541-543-8924",
"fax_number": "541-747-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 DELTA OAKS DR STE 300",
"city": "EUGENE",
"state": "OR",
"postal_code": "974081700",
"telephone_number": "855-433-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER DUDLEY",
"first_name": "DARA",
"middle_name": "ANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H6824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.