NPIMap

Organization Active NPI

Mobile Dental Hygiene of St. George

  • Dental Hygienist
  • Washington, UT
National Provider Identifier
1922541507
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
332958-9920 Issued in UT
Legal business name
MOBILE DENTAL HYGIENE OF ST. GEORGE
Practice address
2506 E Wilderness Gate Dr
Washington, UT 84780-2582
Phone
(435) 680-0517
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danyelle M Evans, R.D.H.NPI 1770274714
Title
Dental Hygienist
Phone
(435) 680-0517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 332958-9920 UT Primary

Addresses

Primary practice location

2506 E Wilderness Gate Dr
Washington, UT 84780-2582

Mailing address

2506 E Wilderness Gate Dr
Washington, UT 84780-2582
Phone (435) 680-0517

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1922541507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 E WILDERNESS GATE DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802582",
            "telephone_number": "435-680-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 E WILDERNESS GATE DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802582",
            "telephone_number": "435-680-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL HYGIENE OF ST. GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "435-680-0517",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "UT",
            "license": "332958-9920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.