Active NPI
Susan Lynn Dwyer, BS RDH
- Dental Hygienist
- Loveland, CO
National Provider Identifier
1649588468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 903672
- Practice address
- 1135 N Lincoln Ave Ste 4
Loveland, CO 80537-4877 - Phone
- (970) 622-0970
- NPI assigned
- Sep 14, 2010
- Last updated
- Sep 14, 2010
- 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 | 903672 | CO | Primary |
Addresses
Primary practice location
1135 N Lincoln Ave Ste 4
Loveland, CO 80537-4877
Mailing address
1135 N Lincoln Ave Ste 4
Loveland, CO 80537-4877
Phone (970) 622-0970
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903672 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1649588468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 N LINCOLN AVE STE 4",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374877",
"telephone_number": "970-622-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N LINCOLN AVE STE 4",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374877",
"telephone_number": "970-622-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "BS RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "903672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.