Individual provider Active NPI

Joanna Laffey, RDH PHDH

  • Dental Hygienist
  • Mattoon, IL
National Provider Identifier
1881429348
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
020.007035 Issued in IL
Practice address
225 Richmond Ave E Ste B
Mattoon, IL 61938-4651
Phone
(217) 235-0800
Fax
(217) 235-0801
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 020.007035 IL Primary

Addresses

Primary practice location

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651

Mailing address

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651
Phone (217) 235-0800

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
020.007035ILMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center PastSince Sep 8, 2024 Accepting new patients
Sarah Bush Lincoln Health Center PastSince Sep 8, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1881429348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384651",
            "telephone_number": "217-235-0800",
            "fax_number": "217-235-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RICHMOND AVE E STE B",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384651",
            "telephone_number": "217-235-0800",
            "fax_number": "217-235-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFEY",
        "first_name": "JOANNA",
        "credential": "RDH  PHDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020.007035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.