Individual provider Active NPI

Colleen Pariso, RDH

  • Dental Hygienist
  • Elmira, NY
National Provider Identifier
1265987630
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
022268 Issued in NY
Practice address
1118 Charles St
Elmira, NY 14904-2709
Phone
(607) 734-9503
Fax
(866) 489-7553
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 022268 NY Primary

Addresses

Primary practice location

1118 Charles St
Elmira, NY 14904-2709

Mailing address

1118 Charles St
Elmira, NY 14904-2709
Phone (607) 734-9503

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
022268NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Able 2 Enhancing Potential PastSince Jan 1, 2018 Accepting new patients
The Chautauqua Center, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1265987630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 CHARLES ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042709",
            "telephone_number": "607-734-9503",
            "fax_number": "866-489-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CHARLES ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149042709",
            "telephone_number": "607-734-9503",
            "fax_number": "866-489-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISO",
        "first_name": "COLLEEN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "022268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.