Reilly Lynne Poirier, RDH, OMT

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002024573 Issued in CO

Practice address

767 Pearl St Ste 230
Boulder, CO 80302-5061

Phone

(303) 449-8875

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sanitas Family Dentistry PC

  • Dental Clinic/Center
  • Boulder, CO
  • NPI 1336090513
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1447084439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 SANDSTONE CIR",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805169731",
            "telephone_number": "774-212-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PEARL ST STE 230",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025061",
            "telephone_number": "303-449-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "REILLY",
        "middle_name": "LYNNE",
        "credential": "RDH, OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002024573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Rose Plattner
• Joanna Maria Plonska, MD
• Katie Plunkett, DDS
• Sharon Bonnie Poczatek, D.D.S
• Rhonda Lynn Pohlman, PHARMD
• April Pojman
• Naomi Lyra Pokrzywa
• Andrew J Pollak, L.AC., LMT
• Alexander Pollard-Lipkis, PA-C
• Erin Pollard, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.