Organization Active NPI

Ohana Mobile Dental Hygiene

  • Dental Hygienist
  • Parker, CO
National Provider Identifier
1639820863
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
OHANA MOBILE DENTAL HYGIENE
Practice address
23205 Bay Oaks Ave
Parker, CO 80138-5742
Phone
(808) 349-7654
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Terry Petrovich
Title
Business Manager
Phone
(808) 349-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

23205 Bay Oaks Ave
Parker, CO 80138-5742

Mailing address

PO Box 161
Parker, CO 80134-0161
Phone (808) 349-7654

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OhanaMobileDental@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1639820863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801340161",
            "telephone_number": "808-349-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23205 BAY OAKS AVE",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801385742",
            "telephone_number": "808-349-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA MOBILE DENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "808-349-7654"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OhanaMobileDental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23205 Bay Oaks Ave",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801385742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.