NPIMap

Organization Active NPI

Colette Fontaine, Rdhap Inc.

  • Dental Hygienist
  • San Mateo, CA
National Provider Identifier
1033893045
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
COLETTE FONTAINE, RDHAP INC.
Practice address
85 W 5TH Ave Apt 407
San Mateo, CA 94402-2036
Phone
(650) 264-9164
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Ms. Colette Lee Fontaine, RDH,RDHAPNPI 1962182840
Title
Registered Dental Hygienist Ap
Phone
(650) 520-0396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X Primary
Advanced Practice Dental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 125K00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

85 W 5TH Ave Apt 407
San Mateo, CA 94402-2036

Mailing address

85 W 5TH Ave Apt 407
San Mateo, CA 94402-2036
Phone (650) 520-0396

Other names 1

  • Elemental Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1033893045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W 5TH AVE APT 407",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022036",
            "telephone_number": "650-520-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W 5TH AVE APT 407",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022036",
            "telephone_number": "650-264-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLETTE FONTAINE, RDHAP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST AP",
        "authorized_official_telephone_number": "650-520-0396",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH,RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elemental Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.