San Juan Dental Hygiene Inc

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

SAN JUAN DENTAL HYGIENE INC

Practice address

226 S Nevada Ave
Montrose, CO 81401-4234

Phone

(405) 760-0100

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Neil, RDH

Title

Dental Hygienist

Phone

(405) 760-0100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1184254609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 VALLEY VIEW RD",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814329322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014234",
            "telephone_number": "405-760-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN DENTAL HYGIENE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "405-760-0100",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Russell II, LMT
• Safeway Inc (Safeway Pharmacy #1131)
• Amr A Salem, MD
• San Juan Anesthesia LLC
• San Juan Anesthesia PLLC
• San Juan Eye Centers, PC
• San Juan Eye Centers, PC
• San Juan Family Medicine PC
• San Juan Foot and Ankle Center
• San Juan Rehabilitative Therapies (San Juan Chiropractic)

• Dental Hygienist in Montrose, CO
• Providers in Montrose, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.