Individual provider Active NPI

Tiffany Jene Schroeder, RDH

  • Dental Hygienist
  • Lakewood, CO
National Provider Identifier
1073040028
Registry record updated May 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH000904082 Issued in CO
Practice address
255 Union Blvd Ste 410
Lakewood, CO 80228-1852
Phone
(303) 284-0202
NPI assigned
May 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2017

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 DH000904082 CO Primary

Addresses

Primary practice location

255 Union Blvd Ste 410
Lakewood, CO 80228-1852

Mailing address

7771 S Estes St
Littleton, CO 80128-5217
Phone (970) 222-5463

Other names 1

  • Tiffany Jene Holder Former name

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
DH000904082COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Family Dentistry, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495238400000",
    "number": "1073040028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7771 S ESTES ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801285217",
            "telephone_number": "970-222-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 410",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281852",
            "telephone_number": "303-284-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "TIFFANY",
        "middle_name": "JENE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH000904082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HOLDER",
            "middle_name": "JENE",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.