Active NPI
Keriann Wilder, RDH
- Dental Hygienist
- Aurora, CO
National Provider Identifier
1619368271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.002024065
- Practice address
- 15132 E Hampden Ave
Suite G
Aurora, CO 80014-5072 - Phone
- (303) 762-6546
- Fax
- (303) 762-6550
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH.002024065 | CO | Primary |
Addresses
Primary practice location
15132 E Hampden Ave
Suite G
Aurora, CO 80014-5072
Mailing address
15132 E Hampden Ave
Suite G
Aurora, CO 80014-5072
Phone (303) 762-6546
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH.002024065 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1619368271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15132 E HAMPDEN AVE",
"address_2": "SUITE G",
"city": "AURORA",
"state": "CO",
"postal_code": "800145072",
"telephone_number": "303-762-6546",
"fax_number": "303-762-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15132 E HAMPDEN AVE",
"address_2": "SUITE G",
"city": "AURORA",
"state": "CO",
"postal_code": "800145072",
"telephone_number": "303-762-6546",
"fax_number": "303-762-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "KERIANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.002024065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.