Individual provider Active NPI

Dana Marie Gillette

  • Dental Hygienist
  • Colorado Springs, CO
National Provider Identifier
1538567896
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH.002023537 Issued in CO
Practice address
5245 Centennial Blvd Ste 207
Colorado Springs, CO 80919-4405
Phone
(719) 402-3232
Fax
(719) 402-3232
NPI assigned
Dec 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH070090 PA
Dental Hygienist 124Q00000X 024528 NY
Dental Hygienist 124Q00000X DH.002023537 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

Electronic endpoints 1

TypeEndpointUseAffiliation
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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH.002023537COMDDental Hygienist
DH070090PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Practice 32 LLC Dental Hygienist CurrentSince Mar 11, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1538567896",
    "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",
            "fax_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",
            "fax_number": "719-402-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH070090",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "024528",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002023537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://api.opendental.com/fhir/v2",
            "affiliation": "Y",
            "endpointDescription": "Open Dental Endpoint",
            "affiliationName": "Practice 32 LLC",
            "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"
        }
    ],
    "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 Mar 7, 2025; 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.