Active NPI
Shannon Rae Hahn, EPDH
- Dental Hygienist
- Salem, OR
National Provider Identifier
1922613272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H8080
- Practice address
- 3000 Market St NE Ste 228
Salem, OR 97301-1803 - Phone
- (503) 587-7162
- NPI assigned
- Sep 14, 2020
- Last updated
- Sep 14, 2020
- 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 | H8080 | OR | Primary |
Addresses
Primary practice location
3000 Market St NE Ste 228
Salem, OR 97301-1803
Mailing address
364 SW Oleander St
Junction City, OR 97448-8432
Phone (937) 303-3471
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 |
|---|---|---|---|
| H8080 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Dental Group | 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.
-
- Dental Clinic/Center
- Salem, OR
- NPI 1255889333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1922613272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 SW OLEANDER ST",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974488432",
"telephone_number": "937-303-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MARKET ST NE STE 228",
"city": "SALEM",
"state": "OR",
"postal_code": "973011803",
"telephone_number": "503-587-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "SHANNON",
"middle_name": "RAE",
"credential": "EPDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H8080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.