Active NPI
Lorraine Middleton Ross, RDH
- Dental Hygienist
- Savannah, GA
National Provider Identifier
1912357468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2844
- Practice address
- 230 Duncan Dr
BLDG 1440
Savannah, GA 31409-5107 - Phone
- (912) 315-5417
- NPI assigned
- Jun 15, 2016
- Last updated
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH005049 | GA | |
| Dental Hygienist | 124Q00000X | 2844 | SC | Primary |
Addresses
Primary practice location
230 Duncan Dr
BLDG 1440
Savannah, GA 31409-5107
Mailing address
230 Duncan Dr
BLDG 1440
Savannah, GA 31409-5107
Phone (912) 315-5417
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 |
|---|---|---|---|
| DH005049 | GA | MD | Dental Hygienist |
| 2844 | SC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1912357468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 DUNCAN DR",
"address_2": "BLDG 1440",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314095107",
"telephone_number": "912-315-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 DUNCAN DR",
"address_2": "BLDG 1440",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314095107",
"telephone_number": "912-315-5417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LORRAINE",
"middle_name": "MIDDLETON",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "DH005049",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "2844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.