Active NPI
Wendy Dougherty, R.D.H
- Dental Hygienist
- Roseburg, OR
National Provider Identifier
1932657731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5059
- Practice address
- 2700 NW Stewart Pkwy
Roseburg, OR 97471-1281 - Phone
- (541) 643-4474
- NPI assigned
- Sep 21, 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 | H5059 | OR | Primary |
Addresses
Primary practice location
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Mailing address
1713 Old Homestead Dr
Oakland, OR 97462-9546
Phone (541) 643-4474
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 |
|---|---|---|---|
| H5059 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1932657731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 OLD HOMESTEAD DR",
"city": "OAKLAND",
"state": "OR",
"postal_code": "974629546",
"telephone_number": "541-643-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NW STEWART PKWY",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974711281",
"telephone_number": "541-643-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "WENDY",
"credential": "R.D.H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
- Thirupathi Reddy Dontam
- Ivy Doolittle
- William D Doubledee
- Heidi Doud
- Stephanie R Doud
- Douglas a. Bitter M.D., P.C. (The Plastic Surgery and Hand Center)
- Douglas County Childrens Center, Inc (Douglas C.A.R.E.S)
- Douglas County Fire District No. 2
- Douglas Education Service District (Douglas ESD)
- Douglas Education Service District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.