NPIMap

Organization Active NPI

Project Worthmore

Doing business as Worthmore Clinic

  • Dental Hygienist
  • Aurora, CO
National Provider Identifier
1053700518
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH000200211 Issued in CO
Legal business name
PROJECT WORTHMORE
Doing business as
Worthmore Clinic
Practice address
1666 Elmira St
Aurora, CO 80010-2122
Phone
(720) 460-0995
Fax
(877) 434-7701
NPI assigned
Jan 21, 2015
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Carolyn AnelloNPI 1972927374
Title
Dental Program Director
Phone
(720) 460-0995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X DH000200211 CO Primary

Addresses

Primary practice location

1666 Elmira St
Aurora, CO 80010-2122

Mailing address

1666 Elmira St
Aurora, CO 80010-2122
Phone (720) 460-0995

Other names 1

  • Worthmore Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Project Worthmore3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1053700518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 ELMIRA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102122",
            "telephone_number": "720-460-0995",
            "fax_number": "877-434-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 ELMIRA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102122",
            "telephone_number": "720-460-0995",
            "fax_number": "877-434-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT WORTHMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ANELLO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DENTAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "720-460-0995"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH000200211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worthmore Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.