Sharon Wynn, CDA, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.002024655 Issued in CO

Practice address

106 W North St
Cortez, CO 81321-3119

Phone

(970) 564-4764

Fax

(970) 565-0647

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montezuma County Health Department

  • Public Health or Welfare Agency
  • Cortez, CO
  • NPI 1114918000
  NPD (past)

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1508397977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-564-4764",
            "fax_number": "970-565-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W NORTH ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213119",
            "telephone_number": "970-564-4764",
            "fax_number": "970-565-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "SHARON",
        "credential": "CDA, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002024655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DENTAL HYGIENE LICENSE",
            "identifier": "DH.002024655",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTEZUMA COUNTY PUBLIC HEALTH DEPARTMENT",
            "identifier": "846000786",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Windhorst, RDH
• Candiss Nicole Wolle, SWC
• Lauri E. Wood, R.N.
• Colette Wyatt
• Edwin Mackenzie Wyman, M.D.
• Peggy E Youngs, P.T.
• Angela Yusuf, PHARMACIST
• Zina Ortiz (Elephant in the Room LLC)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.