Active NPI
Marcia Derrick, RDH
- Dental Hygienist
- Walkersville, MD
National Provider Identifier
1982761722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4381
- Practice address
- 31B E Frederick St
Walkersville, MD 21793-8255 - Phone
- (301) 898-7898
- NPI assigned
- Jan 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4381 | MD | Primary |
| Dental Hygienist | 124Q00000X | 2001 | WV |
Addresses
Primary practice location
31B E Frederick St
Walkersville, MD 21793-8255
Mailing address
58 General Cobb CT
Harpers Ferry, WV 25425-3070
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 |
|---|---|---|---|
| 4381 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982761722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 GENERAL COBB CT",
"city": "HARPERS FERRY",
"state": "WV",
"postal_code": "254253070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31B E FREDERICK ST",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938255",
"telephone_number": "301-898-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRICK",
"first_name": "MARCIA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "4381",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WV",
"license": "2001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walkersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.