Nidia Marcela Forman · Dental Hygienist

500 Se Everett Mall Way Ste B222, Everett, WA 98208-8128

Overview

Nidia Marcela Forman is a Dental Hygienist practicing in Everett, Washington. The National Provider Identifier (NPI) is #1134076052, which was assigned on March 11, 2026, and the registration record was last updated on March 11, 2026. The practitioner's main practice location is at 500 Se Everett Mall Way Ste B222, Everett, WA 98208-8128; the contact telephone number is 4252055956. The primary taxonomy of Nidia Marcela Forman is Dental Hygienist (124Q00000X). Nidia Marcela Forman is licensed to practice in the state of Washington (#DEHL.HL.60287128).

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Provider Information

NPI 1134076052
Entity Type Individual
Provider Name NIDIA MARCELA FORMAN
Gender Female
Credential RDH, OMT
Practice Address 500 Se Everett Mall Way Ste B222
Everett
WA 98208-8128
Practice Telephone 4252055956
Mailing Address 500 Se Everett Mall Way Ste B222
Everett
WA 98208-8128
Mailing Telephone 4252055956
Certification Date 2026-03-11
Enumeration Date 2026-03-11
Last Update Date 2026-03-11
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y124Q00000XDental HygienistDEHL.HL.60287128WA

Taxonomy Information

Primary Taxonomy

Code 124Q00000X
Taxonomy Dental Hygienist
Classification Dental Hygienist
Grouping Dental Providers
Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

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Tijen Keser 2965 East St, Anderson, CA 96007-3481Dental Hygienist2026-06-03
Kelly Natalie Brown 601 Government Rd, Mattawa, WA 99349-5120Dental Hygienist2026-06-04
Shoreline Dental Hygiene 1164 Bar Harbor Rd, Trenton, ME 04605-6025Dental Hygienist2026-06-02
Christian Monroe 17243 Old Tobacco Rd, Lutz, FL 33558-4947Dental Hygienist2026-06-04
Rosita Lynda Echeverria 12811 W Flagstone Dr, Sun City West, AZ 85375-3219Dental Hygienist2026-06-04
Marissa Abbott 24 Dirigo Dr, Brewer, ME 04412-1662Dental Hygienist2026-06-04
Monica Gutierrez 27365 Jefferson Ave Ste L-M, Temecula, CA 92590-5692Dental Hygienist2026-06-03
Mackenna Lee Bonds 2965 East St, Anderson, CA 96007-3481Dental Hygienist2026-06-05
Michelle Mohammadi 27365 Jefferson Ave # Suiesl-M, Temecula, CA 92590-5692Dental Hygienist2026-06-03
Sheryl S Fratino 48 Main St, Chester, VT 05143-9357Dental Hygienist2026-06-05
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Location Information

Street Address 500 SE EVERETT MALL WAY STE B222
City EVERETT
State WA
Zip Code 98208-8128
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Soundflow Myofunctional Wellness LLC 500 Se Everett Mall Way Ste B222, Everett, WA 98208-8128Dental Hygienist2026-04-28

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lily See 10025 19th Ave Se #202, Everett, WA 98208Dentist2023-08-21
Sound Surgeons PLLC 125 130th Street Se, 1st Floor, Everett, WA 98208Ambulatory Surgical Clinic/Center2015-05-15
Megan Schuster 115 124th St Se, Apt A2, Everett, WA 98208Student in an Organized Health Care Education/Training Program2019-01-07
Chris Sturgeon 10102 Meridian Ave, Everett, WA 98208Mental Health Counselor2015-05-01
Multicare Health System 12728 19th Ave Se #200, Everett, WA 98208Cardiovascular Disease Physician2021-10-20
Sarah Mae Dickson 4730 153rd Pl Se, Everett, WA 98208Nurse Practitioner2024-08-26
Elizabeth Anne Powley 1920 100th Street Southeast, Bld C3, Everett, WA 98208Marriage & Family Therapist2016-02-08
Nidhi Janardhan Kotian 1920 100th St Se, Bldg.B Sea Mar Everett Medical Clinic, Everett, WA 98208Student in an Organized Health Care Education/Training Program2024-05-10
Ronald Tracy 10315 19th Avenue Se Suite 110, Everett, WA 98208Dentist2013-08-21
Gretchen Leighton Kramer 1126 131st Street Se, Unit A, Everett, WA 98208Massage Therapist2012-06-29
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.