Active NPI
White River Dental Hygiene, PLLC
- Dental Hygienist
- Meeker, CO
National Provider Identifier
1285010983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 905168
- Legal business name
- WHITE RIVER DENTAL HYGIENE, PLLC
- Practice address
- 73521 Highway 64
Meeker, CO 81641-9302 - Phone
- (970) 878-9967
- NPI assigned
- Aug 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kari Dawn Brennan, R.D.H.
- Title
- Owner/Dental Hygienist
- Phone
- (970) 878-9967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 905168 | CO | Primary |
Addresses
Primary practice location
73521 Highway 64
Meeker, CO 81641-9302
Mailing address
73521 Highway 64
Meeker, CO 81641-9302
Phone (970) 878-9967
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1285010983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73521 HIGHWAY 64",
"city": "MEEKER",
"state": "CO",
"postal_code": "816419302",
"telephone_number": "970-878-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73521 HIGHWAY 64",
"city": "MEEKER",
"state": "CO",
"postal_code": "816419302",
"telephone_number": "970-878-9967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE RIVER DENTAL HYGIENE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "BRENNAN",
"authorized_official_first_name": "KARI",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER/DENTAL HYGIENIST",
"authorized_official_telephone_number": "970-878-9967",
"authorized_official_credential": "R.D.H."
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "CO",
"license": "905168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meeker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.