Individual provider Active NPI

Christina Ann Tarantola, RDH

  • Dental Hygienist
  • Golden, CO
National Provider Identifier
1255015327
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH002026712 Issued in CO
Practice address
16 S Holman Way
Golden, CO 80401-5114
Phone
(850) 556-1983
NPI assigned
Jun 9, 2023
Last updated
Feb 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH044551 GA
Dental Hygienist 124Q00000X DH29221 FL
Dental Hygienist 124Q00000X DH002026712 CO Primary

Addresses

Primary practice location

16 S Holman Way
Golden, CO 80401-5114

Mailing address

16 S Holman Way
Golden, CO 80401-5114
Phone (850) 556-1983

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
DH002026712COMDDental Hygienist
DH29221FLMDDental Hygienist
DH044551GAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1255015327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S HOLMAN WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015114",
            "telephone_number": "850-556-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S HOLMAN WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015114",
            "telephone_number": "850-556-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTOLA",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH044551",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH29221",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH002026712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.