Individual provider Active NPI

Megen M Lube, RDH

  • Dental Hygienist
  • Chippewa Falls, WI
National Provider Identifier
1871844480
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
10778-016 Issued in WI
Practice address
582 Maitland Dr
Apt 80
Chippewa Falls, WI 54729-3680
Phone
(715) 456-6633
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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 10778-016 WI Primary

Addresses

Primary practice location

582 Maitland Dr
Apt 80
Chippewa Falls, WI 54729-3680

Mailing address

582 Maitland Dr
Apt 80
Chippewa Falls, WI 54729-3680
Phone (715) 456-6633

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

LicenseStateTypeSpecialty
10778-016WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1871844480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MAITLAND DR",
            "address_2": "APT 80",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293680",
            "telephone_number": "715-456-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MAITLAND DR",
            "address_2": "APT 80",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293680",
            "telephone_number": "715-456-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBE",
        "first_name": "MEGEN",
        "middle_name": "M",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10778-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.