Organization Active NPI

Bliss Dental Health, LLC

  • Dental Hygienist
  • Highlands Ranch, CO
National Provider Identifier
1063920379
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH.000905258 Issued in CO
Legal business name
BLISS DENTAL HEALTH, LLC
Practice address
9362 S Colorado Blvd Unit D14
Highlands Ranch, CO 80126-5207
Phone
(720) 608-9923
NPI assigned
Jan 21, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Brandi Lynn Brandenburg, RDH, BSDHNPI 1770979254
Title
Owner/Employee
Phone
(303) 960-5880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X DH.000905258 CO Primary

Addresses

Primary practice location

9362 S Colorado Blvd Unit D14
Highlands Ranch, CO 80126-5207

Mailing address

9615 E County Line Rd # B553
Centennial, CO 80112-3527
Phone (720) 608-9923

Other identifiers 3

IdentifierTypeStateIssuer
1770979254OtherCOCIGNA DENTAL
1770979254MedicaidCO
1770979254OtherCODELTA DENTAL

National Provider Directory

National Provider Directory

Locations

9615 E County Line Rd
#B553
Centennial, CO 80112

Practitioners & affiliated clinicians

Practitioners 1

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": "1516492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1063920379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 E COUNTY LINE RD # B553",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123527",
            "telephone_number": "720-608-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 S COLORADO BLVD UNIT D14",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265207",
            "telephone_number": "720-608-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS DENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "303-960-5880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH, BSDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.000905258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DENTAL",
            "identifier": "1770979254",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770979254",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "1770979254",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.