Ignacio Dental Hygiene

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

IGNACIO DENTAL HYGIENE

Practice address

610 Goddard
Ignacio, CO 81137-0785

Phone

(970) 563-0373

Fax

(970) 563-9037

NPI assigned

Jan 31, 2014

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Ena Marie Millich, R.D. H.NPI 1215325162

Title

Owner

Phone

(970) 563-0373

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ena Marie Millich, R.D.H.

  • Dental Hygienist
  • Ignacio, CO
  • NPI 1215325162
  NPD (past) Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1457774168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811370785",
            "telephone_number": "970-563-0373",
            "fax_number": "970-563-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GODDARD",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811370785",
            "telephone_number": "970-563-0373",
            "fax_number": "970-563-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNACIO DENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "MILLICH",
        "authorized_official_first_name": "ENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-563-0373",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.D. H."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "2023390",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Antoinette Goodtracks
• Sandy Gurule, LSW
• Janette Lee Harrell, R.PH
• Nicole Haverstock
• Tammy Lark Honold, RDH
• Ignacio Family Medicine, Inc.
• Myrna Jacobson, PSYCHOLOGIST
• Paige M Kapp, PHARMD, BCPS
• La Plata County School District 11 JT
• Judy M Lansing, CACIII

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.