Active NPI
Christy Lynn Mattson, RDH
- Dental Hygienist
- Montrose, CO
National Provider Identifier
1174853618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.002024335
- Practice address
- 1010 Rio Grande Ave
Montrose, CO 81401 - Phone
- (970) 497-3333
- Fax
- (855) 299-7837
- NPI assigned
- Jan 6, 2010
- Last updated
- May 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H3473 | OR | |
| Dental Hygienist | 124Q00000X | DH.002024335 | CO | Primary |
| Dental Hygienist | 124Q00000X | 5477 | WA |
Addresses
Primary practice location
1010 Rio Grande Ave
Montrose, CO 81401
Mailing address
PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141
Other practice location 1
1250 Valley View Dr
Delta, CO 81416-3138
Phone (970) 874-8981
Other practice location 2
308 Main St
Olathe, CO 81425
Phone (970) 323-6141
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH.002024335 | CO | MD | Dental Hygienist |
| H3473 | OR | MD | Dental Hygienist |
| 5477 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1174853618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 529",
"city": "OLATHE",
"state": "CO",
"postal_code": "814250529",
"telephone_number": "970-323-6141",
"fax_number": "855-299-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 RIO GRANDE AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "81401",
"telephone_number": "970-497-3333",
"fax_number": "855-299-7837"
}
],
"practiceLocations": [
{
"address_1": "1250 Valley View Dr",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814163138",
"country_code": "US",
"telephone_number": "970-874-8981",
"fax_number": "855-299-7586",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 Main St",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "CO",
"postal_code": "81425",
"country_code": "US",
"telephone_number": "970-323-6141",
"fax_number": "855-299-8071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTSON",
"first_name": "CHRISTY",
"middle_name": "LYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2023-05-04",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H3473",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.002024335",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "5477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.