Organization Active NPI

Genesis Oral Myofunctional Therapy

  • Dental Hygienist
  • Littleton, CO
National Provider Identifier
1730964875
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
GENESIS ORAL MYOFUNCTIONAL THERAPY
Practice address
6327 S Zephyr CT
Littleton, CO 80123-3568
Phone
(208) 691-0676
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Rachel Sobieck, RDH OMTNPI 1265982193
Title
Omt
Phone
(208) 691-0676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

6327 S Zephyr CT
Littleton, CO 80123-3568

Mailing address

6327 S Zephyr CT
Littleton, CO 80123-3568
Phone (208) 691-0676

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1730964875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 S ZEPHYR CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233568",
            "telephone_number": "208-691-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 S ZEPHYR CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233568",
            "telephone_number": "208-691-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ORAL MYOFUNCTIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SOBIECK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OMT",
        "authorized_official_telephone_number": "208-691-0676",
        "authorized_official_credential": "RDH OMT"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.