Active NPI
Bliss Dental Health, LLC
- Dental Hygienist
- Highlands Ranch, CO
National Provider Identifier
1063920379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.000905258
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brandi Lynn Brandenburg, RDH, BSDH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770979254 | Other | CO | CIGNA DENTAL |
| 1770979254 | Medicaid | CO | |
| 1770979254 | Other | CO | DELTA DENTAL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dental Hygienist
- Highlands Ranch, CO
- NPI 1770979254
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.