Organization Active NPI

Eagle Bend Dental Hygiene,LLC

  • Dental Hygienist
  • Aurora, CO
National Provider Identifier
1205075363
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2244 Issued in CO
Legal business name
EAGLE BEND DENTAL HYGIENE,LLC
Practice address
22651 E Aurora Pkwy Unit A5
Aurora, CO 80016-6086
Phone
(303) 617-0303
Fax
(303) 617-0603
NPI assigned
Feb 13, 2009
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Ms. Sandra L. Hinton, RDHNPI 1720208689
Title
Hygienist
Phone
(303) 617-0303

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)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2244 CO Primary

Addresses

Primary practice location

22651 E Aurora Pkwy Unit A5
Aurora, CO 80016-6086

Mailing address

22651 E Aurora Pkwy Unit A5
Aurora, CO 80016-6086
Phone (303) 617-0303

National Provider Directory

National Provider Directory

Locations

22651 E Aurora Pkwy
Unit A5
Aurora, CO 80016
Phone (303) 617-0303

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1205075363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22651 E AURORA PKWY UNIT A5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166086",
            "telephone_number": "303-617-0303",
            "fax_number": "303-617-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22651 E AURORA PKWY UNIT A5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166086",
            "telephone_number": "303-617-0303",
            "fax_number": "303-617-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE BEND DENTAL HYGIENE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "HYGIENIST",
        "authorized_official_telephone_number": "303-617-0303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.