Individual provider Active NPI

Jennifer Paugh, DENTAL HYGIENST

  • Dental Hygienist
  • Allentown, PA
National Provider Identifier
1922736032
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH070635 Issued in PA
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

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidPA

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

LicenseStateTypeSpecialty
DH070635PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Partners Community Health Center CurrentSince Jul 9, 2023 Accepting new patients
Valley Health Partners Community Health Center PastSince Aug 1, 2022 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.

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.

Verify at the official NPI Registry.