Active NPI
Cory Fauteaux
- Dental Hygienist
- Cortez, CO
National Provider Identifier
1669846283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH.002024233
- Practice address
- 111 Sligo St BLDG a
Cortez, CO 81321-2939 - Phone
- (970) 459-1314
- NPI assigned
- Nov 19, 2015
- Sex
- Male
- 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 | DH.002024233 | CO | Primary |
Addresses
Primary practice location
111 Sligo St BLDG a
Cortez, CO 81321-2939
Mailing address
111 Sligo St BLDG a
Cortez, CO 81321-2939
Phone (970) 459-1314
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 |
|---|---|---|---|
| DH.002024233 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1669846283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SLIGO ST BLDG A",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212939",
"telephone_number": "970-459-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SLIGO ST BLDG A",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212939",
"telephone_number": "970-459-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUTEAUX",
"first_name": "CORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH.002024233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.