Individual provider Active NPI

Susan Primrose Hoellrich, RDH

  • Dental Hygienist
  • North Adams, MA
National Provider Identifier
1942535679
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH91012 Issued in MA
Practice address
71 Hospital Ave
North Adams, MA 01247-2504
Phone
(413) 664-4088
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH91012 MA Primary

Addresses

Primary practice location

71 Hospital Ave
North Adams, MA 01247-2504

Mailing address

762 Main St
Williamstown, MA 01267-2627
Phone (518) 812-4666

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
DH91012MAMDDental Hygienist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1942535679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 MAIN ST",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672627",
            "telephone_number": "518-812-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOSPITAL AVE",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472504",
            "telephone_number": "413-664-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELLRICH",
        "first_name": "SUSAN",
        "middle_name": "PRIMROSE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH91012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.