Individual provider Active NPI

Helen Elise Tanner, RDH, BS

  • Dental Hygienist
  • Issaquah, WA
National Provider Identifier
1972719359
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH00005026 Issued in WA
Practice address
1840 25TH Ave NE Apt 414
Issaquah, WA 98029-2641
Phone
(425) 417-0630
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00005026 WA Primary

Addresses

Primary practice location

1840 25TH Ave NE Apt 414
Issaquah, WA 98029-2641

Mailing address

1840 25TH Ave NE Apt 414
Issaquah, WA 98029-2641
Phone (425) 417-0630

Other identifiers 1

IdentifierTypeStateIssuer
5901897MedicaidWA

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
DH00005026WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tooth Fairies 2 LLC Dental Hygienist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1972719359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 25TH AVE NE APT 414",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292641",
            "telephone_number": "425-417-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 25TH AVE NE APT 414",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292641",
            "telephone_number": "425-417-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "HELEN",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "RDH, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00005026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901897",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.