Individual provider Active NPI

Gina Marie Jiannetti, RDH

  • Dental Hygienist
  • Wheat Ridge, CO
National Provider Identifier
1649417247
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
201274 Issued in CO
Practice address
11577 W 38TH PL
Wheat Ridge, CO 80033-3803
Phone
(303) 422-3175
Fax
(303) 940-4911
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 201274 CO Primary

Addresses

Primary practice location

11577 W 38TH PL
Wheat Ridge, CO 80033-3803

Mailing address

11577 W 38TH PL
Wheat Ridge, CO 80033-3803
Phone (303) 422-3175

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
201274COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Dental Hygiene Services Dental Hygienist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1649417247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11577 W 38TH PL",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333803",
            "telephone_number": "303-422-3175",
            "fax_number": "303-940-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11577 W 38TH PL",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333803",
            "telephone_number": "303-422-3175",
            "fax_number": "303-940-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANNETTI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "201274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.