Active NPI
Heidi Weaver
- Dental Hygienist
- Telluride1, CO
National Provider Identifier
1639595572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 000904361
- Practice address
- 220 E Colorado Ave
Suite 106
Telluride1, CO 81435 - Phone
- (719) 480-3822
- Fax
- (888) 595-3242
- NPI assigned
- Mar 17, 2014
- 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 | 000904361 | CO | Primary |
Addresses
Primary practice location
220 E Colorado Ave
Suite 106
Telluride1, CO 81435
Mailing address
PO Box 4222
Telluride, CO 81435-4222
Phone (719) 480-3822
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 |
|---|---|---|---|
| 000904361 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Health Network | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Voluntary or Charitable Agency
- Telluride, CO
- NPI 1730476185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1639595572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4222",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814354222",
"telephone_number": "719-480-3822",
"fax_number": "888-595-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E COLORADO AVE",
"address_2": "SUITE 106",
"city": "TELLURIDE1",
"state": "CO",
"postal_code": "81435",
"telephone_number": "719-480-3822",
"fax_number": "888-595-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "HEIDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "000904361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.