Active NPI
Janice Coughlin, RDH
- Dental Hygienist
- Warrenton, OR
National Provider Identifier
1932643475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H0889
- Practice address
- 1630 SE Ensign Lane
Warrenton, OR 97146 - Phone
- (503) 325-3230
- NPI assigned
- Dec 16, 2016
- Last updated
- Dec 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | H0889 | OR | Primary |
Addresses
Primary practice location
1630 SE Ensign Lane
Warrenton, OR 97146
Mailing address
1630 SE Ensign Lane
Warrenton, OR 97146
Phone (503) 325-3230
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 |
|---|---|---|---|
| H0889 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandroff DMD PC | Past | Accepting new patients | |
| Alexandroff DMD PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1932643475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SE ENSIGN LANE",
"city": "WARRENTON",
"state": "OR",
"postal_code": "97146",
"telephone_number": "503-325-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 SE ENSIGN LANE",
"city": "WARRENTON",
"state": "OR",
"postal_code": "97146",
"telephone_number": "503-325-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLIN",
"first_name": "JANICE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-16",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H0889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.