Active NPI
Joanne M Wellings, R.D.H.
- Dental Hygienist
- Canton, NY
National Provider Identifier
1952556789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 019839-1
- Practice address
- 80 State Hiighway 310
Suite #2
Canton, NY 13617 - Phone
- (315) 386-2325
- Fax
- (315) 386-2203
- NPI assigned
- Nov 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 019839-1 | NY | Primary |
Addresses
Primary practice location
80 State Hiighway 310
Suite #2
Canton, NY 13617
Mailing address
80 State Hiighway 310
Suite #2
Canton, NY 13617
Phone (315) 386-2325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019839-1 | Other | NY | NYS RDH LICENSE # |
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 |
|---|---|---|---|
| 019839-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1952556789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 STATE HIIGHWAY 310",
"address_2": "SUITE #2",
"city": "CANTON",
"state": "NY",
"postal_code": "13617",
"telephone_number": "315-386-2325",
"fax_number": "315-386-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 STATE HIIGHWAY 310",
"address_2": "SUITE #2",
"city": "CANTON",
"state": "NY",
"postal_code": "13617",
"telephone_number": "315-386-2325",
"fax_number": "315-386-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINGS",
"first_name": "JOANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "019839-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS RDH LICENSE #",
"identifier": "019839-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.