Active NPI
Linda Gerwatowski
- Dental Hygienist
- Colorado Springs, CO
National Provider Identifier
1033501457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1038
- Practice address
- 1445 Big Valley Dr
Colorado Springs, CO 80919-1018 - Phone
- (719) 593-1203
- NPI assigned
- Feb 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 1038 | CO | Primary |
| Dental Hygienist | 124Q00000X | 2902002429 | MI |
Addresses
Primary practice location
1445 Big Valley Dr
Colorado Springs, CO 80919-1018
Mailing address
1445 Big Valley Dr
Colorado Springs, CO 80919-1018
Phone (719) 593-1203
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 |
|---|---|---|---|
| 1038 | CO | MD | Dental Hygienist |
| 2902002429 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424563200000",
"number": "1033501457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 BIG VALLEY DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191018",
"telephone_number": "719-593-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 BIG VALLEY DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191018",
"telephone_number": "719-593-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERWATOWSKI",
"first_name": "LINDA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-22",
"last_updated": "2015-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "1038",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902002429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.