Active NPI
Carla McColly, RDH
- Dental Hygienist
- Missoula, MT
National Provider Identifier
1376948125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DEN-RDH-LIC-5766
- Practice address
- 1600 St Andrews Way
Missoula, MT 59808-8681 - Phone
- (208) 699-4297
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DEN-RDH-LIC-5766 | MT | Primary |
Addresses
Primary practice location
1600 St Andrews Way
Missoula, MT 59808-8681
Mailing address
1600 St Andrews Way
Missoula, MT 59808-8681
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-RDH-LIC-5766 | MT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1376948125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ST ANDREWS WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598088681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ST ANDREWS WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598088681",
"telephone_number": "208-699-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOLLY",
"first_name": "CARLA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MT",
"license": "DEN-RDH-LIC-5766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.