Active NPI
Michelle Marie Bleth-Weber, RDH, EPDH
- Dental Hygienist
- Tillamook, OR
National Provider Identifier
1912274796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H3957
- Practice address
- 805 Ivy Avenue Suite B
Tillamook, OR 97141-9620 - Phone
- (503) 842-3994
- NPI assigned
- Nov 22, 2011
- Last updated
- May 13, 2021
- 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 | H3957 | OR | Primary |
Addresses
Primary practice location
805 Ivy Avenue Suite B
Tillamook, OR 97141-9620
Mailing address
805 Ivy Avenue Suite B
Tillamook, OR 97338
Phone (503) 842-3994
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 |
|---|---|---|---|
| H3957 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Correctional Institution Sheridan | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Sheridan, OR
- NPI 1093176976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1912274796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 IVY AVENUE SUITE B",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "97338",
"telephone_number": "503-842-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 IVY AVENUE SUITE B",
"city": "TILLAMOOK",
"state": "OR",
"postal_code": "971419620",
"telephone_number": "503-842-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLETH-WEBER",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RDH, EPDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2021-05-13",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H3957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tillamook, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.