Active NPI
Jennifer Eva Campbell, RDH
- Dental Hygienist
- Pendleton, OR
National Provider Identifier
1992807218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H4174
- Practice address
- 73265 Confederated Way
Pendleton, OR 97801 - Phone
- (541) 966-9830
- NPI assigned
- Sep 5, 2006
- Last updated
- Mar 10, 2011
- 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 | H4174 | OR | Primary |
Addresses
Primary practice location
73265 Confederated Way
Pendleton, OR 97801
Mailing address
411 NW 10TH St
Pendleton, OR 97801-1357
Phone (541) 276-2009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171037 | Medicaid | OR |
Other names 1
- Mrs. Jennifer Eva Woodward
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 |
|---|---|---|---|
| H4174 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowhawk Tribal Health Center | Past | Accepting new patients | |
| Assured Imaging Womens Wellness of Washington, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Pendleton, OR
- NPI 1346283488
-
dba Assured Imaging Women's Wellness
- Diagnostic Radiology Physician
- Tukwila, WA
- NPI 1588982060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1992807218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 NW 10TH ST",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978011357",
"telephone_number": "541-276-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73265 CONFEDERATED WAY",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-966-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JENNIFER",
"middle_name": "EVA",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H4174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171037",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WOODWARD",
"middle_name": "EVA",
"prefix": "MRS.",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.