TRACI MICHELLE PAYNE RDH NPI 1336383207

NPI Information

  • NPI: 1336383207
  • Provider Name: TRACI MICHELLE PAYNE, RDH
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • Address: 300 W BROADWAY
    SUITE 6
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Phone: (712) 256-9151

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NPI Details

Traci Michelle Payne, RDH is a dental hygienist in Council Bluffs, IA. The provider is 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. Traci Michelle Payne, RDH NPI is 1336383207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 W BROADWAY
SUITE 6
COUNCIL BLUFFS, IA
ZIP 51503-078
Phone: (712) 256-9151
Fax: (712) 325-0288

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental Hygienist03217IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114906906OTHERGROUP NPI
20188946MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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