Active NPI
Raschelle Nicole Porter, RDH
- Dental Hygienist
- Atlanta, GA
National Provider Identifier
1881904720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH010425
- Practice address
- 341 Ponce de Leon Ave NE
Atlanta, GA 30308-2012 - Phone
- (404) 616-9745
- NPI assigned
- Oct 13, 2010
- 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 | DH010425 | GA | Primary |
Addresses
Primary practice location
341 Ponce de Leon Ave NE
Atlanta, GA 30308-2012
Mailing address
1032 Meadow Glen Cir
Fairburn, GA 30213-4236
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 |
|---|---|---|---|
| DH010425 | GA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1881904720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 MEADOW GLEN CIR",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302134236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 PONCE DE LEON AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082012",
"telephone_number": "404-616-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "RASCHELLE",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH010425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.