Andrea Lynn Pickett, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

904434 Issued in CO

Practice address

3996 Red Cedar Dr Unit A3
Highlands Ranch, CO 80126-8066

Phone

(303) 470-9696

Fax

(303) 470-9201

NPI assigned

Jul 21, 2009

Last updated

Jul 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rock Canyon Dental Care, LLC

  dba Rock Canyon Dental Care

  • General Practice Dentistry
  • Highlands Ranch, CO
  • NPI 1124103957
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1023248374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 HICKORY RIDGE LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267541",
            "telephone_number": "720-530-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 RED CEDAR DR UNIT A3",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268066",
            "telephone_number": "303-470-9696",
            "fax_number": "303-470-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "904434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa B Philpott, M.D.
• Samuel Cooper Phinney, MD
• Samuel Edward Phippen, PT, DPT
• Physico LLC
• Physiotherapy Associates Inc
• Michael Thom Piel, MD
• Brandon James Pires, MD
• Alisha Piro
• Michaella Renee Pisciotta, M.S
• Kendra Poarch, PA

• Dental Hygienist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.