Active NPI
Cynthia Kuerner, RDH, PHDHP
- Dental Hygienist
- Erie, PA
National Provider Identifier
1932625217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- PHDH000856
- Practice address
- 2120 E 10TH St
Erie, PA 16511-3111 - Phone
- (814) 464-0307
- NPI assigned
- Aug 17, 2017
- Last updated
- Feb 12, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH071638 | PA | |
| Dental Hygienist | 124Q00000X | |||
| Dental Hygienist | 124Q00000X | PHDH000856 | PA | Primary |
Addresses
Primary practice location
2120 E 10TH St
Erie, PA 16511-3111
Mailing address
PO Box 369
Erie, PA 16512-0369
Phone (814) 454-4530
Other practice location 1
1202 State St
Erie, PA 16501-1914
Phone (814) 452-4262
Other practice location 2
1611 Peach St
Erie, PA 16501-2109
Phone (814) 456-8548
Other practice location 3
2922 State St
Erie, PA 16508-1832
Phone (814) 454-4028
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH071638 | Other | PA | BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS |
| 103353787 | Medicaid | PA | |
| PHDH000856 | Other | PA | BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS |
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 |
|---|---|---|---|
| DH071638 | PA | MD | Dental Hygienist |
| PHDH000856 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1932625217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "ERIE",
"state": "PA",
"postal_code": "165120369",
"telephone_number": "814-454-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 E 10TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165113111",
"telephone_number": "814-464-0307"
}
],
"practiceLocations": [
{
"address_1": "1202 State St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165011914",
"country_code": "US",
"telephone_number": "814-452-4262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 Peach St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165012109",
"country_code": "US",
"telephone_number": "814-456-8548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2922 State St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165081832",
"country_code": "US",
"telephone_number": "814-454-4028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUERNER",
"first_name": "CYNTHIA",
"credential": "RDH, PHDHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH071638",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "PHDH000856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
"identifier": "DH071638",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103353787",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
"identifier": "PHDH000856",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.