Active NPI
Ohana Mobile Dental Hygiene
- Dental Hygienist
- Parker, CO
National Provider Identifier
1639820863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OhanaMobileDental@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Parker, CO
- NPI 1336520329
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
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest PA (Concentra Medical Centers)
- Patrick Odom
- Danielle Oetjen, MA
- Gift Ene Ogah, FNP-BC
- Gordon Nordell Olinger, M.D.
- Olive's Health & Hope Professional Company (Olive's Health & Hope)
- Pamela Olmsted
- Emma Olsen-Dufour, LSW
- Andy Kenji Olsen, DO
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.