Individual provider Active NPI

Candace McCutcheon, RDH

  • Dental Hygienist
  • Lone Tree, CO
National Provider Identifier
1043784226
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
000906187 Issued in CO
Practice address
5885 Cheetah Chase
Lone Tree, CO 80124-9599
Phone
(619) 992-2324
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 000906187 CO Primary

Addresses

Primary practice location

5885 Cheetah Chase
Lone Tree, CO 80124-9599

Mailing address

5885 Cheetah Chase
Lone Tree, CO 80124-9599
Phone (619) 992-2324

Other practice location 1

5885 Cheetah Chase
Lone Tree, CO 80124-9599
Phone (619) 992-2324

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

LicenseStateTypeSpecialty
000906187COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1043784226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 CHEETAH CHASE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249599",
            "telephone_number": "619-992-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 CHEETAH CHASE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249599",
            "telephone_number": "619-992-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Cheetah Chase",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801249599",
            "country_code": "US",
            "telephone_number": "619-992-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "CANDACE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000906187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.