Renaissance Dental Hygiene RDH LLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2675 Issued in CO

Legal business name

RENAISSANCE DENTAL HYGIENE RDH LLC

Practice address

6214 E 122ND Ave
Brighton, CO 80602-9691

Phone

(303) 596-7634

NPI assigned

May 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Renee Y Hall, RDH BSDHNPI 1376757799

Title

Dental Hygienist

Phone

(303) 596-7634

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Y Hall, RDH

  • Dental Hygienist
  • Denver, CO
  • NPI 1376757799
  NPD (past) Authorized official

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1346697752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 E 122ND AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806029691",
            "telephone_number": "303-596-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 E 122ND AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806029691",
            "telephone_number": "303-596-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE DENTAL HYGIENE RDH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "303-596-7634",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH BSDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36651524",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Brighton, CO
• Providers in Brighton, CO by specialty
• Dental Hygienist in Colorado

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