Individual provider Active NPI

Heidi Telles

  • Dental Hygienist
  • Vail, CO
National Provider Identifier
1720779481
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH.000903230 Issued in CO
Practice address
2077 N Frontage Rd W Ste 101
Vail, CO 81657-4960
Phone
(970) 376-0075
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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.000903230 CO Primary

Addresses

Primary practice location

2077 N Frontage Rd W Ste 101
Vail, CO 81657-4960

Mailing address

2077 N Frontage Rd W Ste 101
Vail, CO 81657-4960
Phone (970) 376-0075

Other practice location 1

Mountain Family Health Centers
230 Chapel Sq Unit D-102
Avon, CO 81621
Phone (970) 945-2840

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.000903230COMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: heidi.telles.p1@direct.mfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1720779481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 N FRONTAGE RD W STE 101",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574960",
            "telephone_number": "970-376-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 N FRONTAGE RD W STE 101",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574960",
            "telephone_number": "970-376-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Mountain Family Health Centers",
            "address_2": "230 Chapel Sq Unit D-102",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "81621",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLES",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.000903230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.