Individual provider Active NPI

Cynthia Kuerner, RDH, PHDHP

  • Dental Hygienist
  • Erie, PA
National Provider Identifier
1932625217
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
PHDH000856 Issued in PA
Practice address
2120 E 10TH St
Erie, PA 16511-3111
Phone
(814) 464-0307
NPI assigned
Aug 17, 2017
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DH071638OtherPABUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
103353787MedicaidPA
PHDH000856OtherPABUREAU 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

LicenseStateTypeSpecialty
DH071638PAMDDental Hygienist
PHDH000856PAMDDental 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.

Verify at the official NPI Registry.