Individual provider Active NPI

Megan Nicole Passig

  • Dental Hygienist
  • Pueblo, CO
National Provider Identifier
1144695917
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
000905916 Issued in CO
Practice address
2920 Thornberry LN
Pueblo, CO 81005-5110
Phone
(719) 248-8332
NPI assigned
Dec 4, 2015
Last updated
Apr 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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 000905916 CO Primary

Addresses

Primary practice location

2920 Thornberry LN
Pueblo, CO 81005-5110

Mailing address

20 Nona Brooks CT Unit S
Pueblo, CO 81005-2163
Phone (719) 248-8332

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
000905916COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1144695917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NONA BROOKS CT UNIT S",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052163",
            "telephone_number": "719-248-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 THORNBERRY LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810055110",
            "telephone_number": "719-248-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSIG",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000905916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.