Individual provider Active NPI

Colleen Elizabeth Deutman, RDH

  • Dental Hygienist
  • Colorado Springs, CO
National Provider Identifier
1396197372
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
002024470 Issued in CO
Practice address
1490 Farnham PT Apt 205
Colorado Springs, CO 80904-5231
Phone
(314) 974-8462
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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 002024470 CO Primary

Addresses

Primary practice location

1490 Farnham PT Apt 205
Colorado Springs, CO 80904-5231

Mailing address

1490 Farnham PT Apt 205
Colorado Springs, CO 80904-5231

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
002024470COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1396197372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 FARNHAM PT APT 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 FARNHAM PT APT 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045231",
            "telephone_number": "314-974-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTMAN",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002024470",
            "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 Jul 1, 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.