Active NPI
Dora Boge, RDH
- Dental Hygienist
- Pasco, WA
National Provider Identifier
1881078061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00006347
- Practice address
- 515 W Court St
Pasco, WA 99301-3737 - Phone
- (509) 547-2204
- Fax
- (590) 544-8768
- NPI assigned
- Jul 17, 2015
- 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 | DH00006347 | WA | Primary |
Addresses
Primary practice location
515 W Court St
Pasco, WA 99301-3737
Mailing address
515 W Court St
Pasco, WA 99301-3737
Phone (509) 547-2204
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 |
|---|---|---|---|
| DH00006347 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1881078061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993013737",
"telephone_number": "509-547-2204",
"fax_number": "590-544-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993013737",
"telephone_number": "509-547-2204",
"fax_number": "590-544-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGE",
"first_name": "DORA",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00006347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.