Individual provider Active NPI

Olivia Shannon, RDH

  • Dental Hygienist
  • Colorado Springs, CO
National Provider Identifier
1487308698
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
002025199 Issued in CO
Practice address
5245 Centennial Blvd Ste 207
Colorado Springs, CO 80919-4405
Phone
(719) 402-3232
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 002025199 CO Primary

Addresses

Primary practice location

5245 Centennial Blvd Ste 207
Colorado Springs, CO 80919-4405

Mailing address

5245 Centennial Blvd Ste 207
Colorado Springs, CO 80919-4405
Phone (719) 402-3232

Other practice location 1

5410 Powers Center Pt Ste 220
Colorado Springs, CO 80920-7148
Phone (719) 402-3232

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://api.opendental.com/fhir/v2 Direct
FHIR URL https://api.opendental.com/fhir/v2 Direct Practice 32 LLC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002025199COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Practice 32 LLC Dental Hygienist CurrentSince Jul 31, 2023 Accepting new patients
Practice 32 LLC Dental Hygienist Past Accepting new patients

Locations

5245 Centennial Blvd
Ste 207
Colorado Springs, CO 80919
Phone (719) 357-6471

Organizations & group practices 2

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1487308698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "719-402-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 CENTENNIAL BLVD STE 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194405",
            "telephone_number": "719-402-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 Powers Center Pt Ste 220",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207148",
            "country_code": "US",
            "telephone_number": "719-402-3232",
            "fax_number": "719-402-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "OLIVIA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002025199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://api.opendental.com/fhir/v2",
            "affiliation": "N",
            "endpointDescription": "Open Dental Endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5245 Centennial Blvd Ste 207",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809194405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://api.opendental.com/fhir/v2",
            "affiliation": "Y",
            "endpointDescription": "Open Dental Endpoint - Briargate",
            "affiliationName": "Practice 32 LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5410 Powers Center Pt Ste 220",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809207148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 21, 2026; 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.