Active NPI
Alicia M Hendrix
- Dental Hygienist
- Beaverton, OR
National Provider Identifier
1952736605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5881
- Practice address
- 15515 SW Foster LN Apt 262
Beaverton, OR 97007-2384 - Phone
- (541) 218-8387
- NPI assigned
- Sep 12, 2013
- 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 | H5881 | OR | Primary |
Addresses
Primary practice location
15515 SW Foster LN Apt 262
Beaverton, OR 97007-2384
Mailing address
15515 SW Foster LN Apt 262
Beaverton, OR 97007-2384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H5881 | Other | OR | DENTAL HYGIENE |
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 |
|---|---|---|---|
| H5881 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1952736605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15515 SW FOSTER LN APT 262",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970072384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15515 SW FOSTER LN APT 262",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970072384",
"telephone_number": "541-218-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "ALICIA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENE",
"identifier": "H5881",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.