NPIMap

Individual provider Active NPI

Nicole Traicoff

  • Dental Hygienist
  • Denver, CO
National Provider Identifier
1679954937
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH 002023635 Issued in IL
Practice address
200 Quebec St
BLDG 500 Unit 105
Denver, CO 80230-7144
Phone
(303) 364-6659
Fax
(303) 537-1222
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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 DH 002023635 IL Primary

Addresses

Primary practice location

200 Quebec St
BLDG 500 Unit 105
Denver, CO 80230-7144

Mailing address

200 Quebec St
BLDG 500 Unit 105
Denver, CO 80230-7144
Phone (303) 364-6659

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
DH 002023635ILMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Dental Past Accepting new patients
Lowry Family Dental Practice Past Accepting new patients

Organizations & group practices 2

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1679954937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST",
            "address_2": "BLDG 500 UNIT 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "303-364-6659",
            "fax_number": "303-537-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST",
            "address_2": "BLDG 500 UNIT 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "303-364-6659",
            "fax_number": "303-537-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAICOFF",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "DH 002023635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.