Individual provider Active NPI

Courtney Connell, RDH

  • Dental Hygienist
  • Colorado Springs, CO
National Provider Identifier
1285305557
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH000906365 Issued in CO
Practice address
9240 Explorer Dr Ste 110
Colorado Springs, CO 80920-5004
Phone
(719) 599-0110
NPI assigned
Sep 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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 DH000906365 CO Primary

Addresses

Primary practice location

9240 Explorer Dr Ste 110
Colorado Springs, CO 80920-5004

Mailing address

17160 Goshawk Rd E
Colorado Springs, CO 80908-1628
Phone (719) 685-6852

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
DH000906365COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Colvin Tao Family Dentistry PLLC CurrentSince May 29, 2022 Accepting new patients

Locations

9240 Explorer Dr
Ste 110
Colorado Springs, CO 80920
Phone (719) 599-0110

Organizations & group practices 1

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1285305557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17160 GOSHAWK RD E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809081628",
            "telephone_number": "719-685-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 EXPLORER DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205004",
            "telephone_number": "719-599-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "COURTNEY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH000906365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.