NPIMap

Organization Active NPI

White River Dental Hygiene, PLLC

  • Dental Hygienist
  • Meeker, CO
National Provider Identifier
1285010983
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
905168 Issued in CO
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
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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.NPI 1821374125
Title
Owner/Dental Hygienist
Phone
(970) 878-9967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.