Individual provider Active NPI

Jennifer L Hosburgh, RDH, OMT

  • Dental Hygienist
  • Longmont, CO
National Provider Identifier
1306426218
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH002024040 Issued in CO
Practice address
2132 Redfield Cir
Longmont, CO 80504-9210
Phone
(321) 720-5761
NPI assigned
Apr 13, 2021
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 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 DH002024040 CO Primary

Addresses

Primary practice location

2132 Redfield Cir
Longmont, CO 80504-9210

Mailing address

2132 Redfield Cir
Longmont, CO 80504-9210
Phone (321) 720-5761

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Longmont

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
DH002024040COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Habits Orofacial Myology LLC Dental Hygienist CurrentSince Apr 20, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1306426218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 REDFIELD CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805049210",
            "telephone_number": "321-720-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 REDFIELD CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805049210",
            "telephone_number": "321-720-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSBURGH",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RDH, OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH002024040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Longmont",
            "affiliation": "N",
            "address_1": "2132 Redfield Cir",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805049210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.