Individual provider Active NPI

Elizabeth Anne Reed, R.D.H.

  • Dental Hygienist
  • Delta, CO
National Provider Identifier
1417073891
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
904787 Issued in CO
Practice address
1250 Valley View Dr
Delta, CO 81416-3138
Phone
(970) 874-8981
Fax
(855) 299-7586
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 904787 CO Primary

Addresses

Primary practice location

1250 Valley View Dr
Delta, CO 81416-3138

Mailing address

PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141

Other practice location 1

1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333

Other practice location 2

308 Main St
Olathe, CO 81425
Phone (970) 323-6141

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
904787COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Olathe Community Clinic Inc. Past Accepting new patients
Olathe Community Clinic Inc Past Accepting new patients
Olathe Community Clinic Inc Past Accepting new patients

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1417073891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814250529",
            "telephone_number": "970-323-6141",
            "fax_number": "970-323-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 VALLEY VIEW DR",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163138",
            "telephone_number": "970-874-8981",
            "fax_number": "855-299-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014831",
            "country_code": "US",
            "telephone_number": "970-497-3333",
            "fax_number": "855-299-7837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Main St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "CO",
            "postal_code": "81425",
            "country_code": "US",
            "telephone_number": "970-323-6141",
            "fax_number": "855-299-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "904787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.