Active NPI
Jennifer Paugh, DENTAL HYGIENST
- Dental Hygienist
- Allentown, PA
National Provider Identifier
1922736032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH070635
- Practice address
- 101 N 6TH St Ste 310
Allentown, PA 18101-1403 - Phone
- (484) 224-0777
- NPI assigned
- Aug 9, 2022
- 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 | DH070635 | PA | Primary |
Addresses
Primary practice location
101 N 6TH St Ste 310
Allentown, PA 18101-1403
Mailing address
101 N 6TH St Ste 310
Allentown, PA 18101-1403
Phone (610) 969-3003
Other practice location 1
1627 Chew St Ste Dntl
Allentown, PA 18102-3648
Phone (484) 224-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | PA |
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 |
|---|---|---|---|
| DH070635 | PA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Partners Community Health Center | Current | Accepting new patients | |
| Valley Health Partners Community Health Center | Past | Accepting new patients |
Locations
101 N 6th St
Ste 310
Allentown, PA 18101
Phone (484) 224-0777
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1033854583
-
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1912532888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1922736032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N 6TH ST STE 310",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181011403",
"telephone_number": "610-969-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N 6TH ST STE 310",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181011403",
"telephone_number": "484-224-0777"
}
],
"practiceLocations": [
{
"address_1": "1627 Chew St Ste Dntl",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181023648",
"country_code": "US",
"telephone_number": "484-224-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUGH",
"first_name": "JENNIFER",
"credential": "DENTAL HYGIENST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH070635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.