Individual provider Active NPI

Ellen E Zanichelli, RDH., BS

  • Dental Hygienist
  • Evergreen, CO
National Provider Identifier
1740300615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HD201762 Issued in CO
Practice address
3092 Evergreen Pkwy
Suite 202
Evergreen, CO 80439-7849
Phone
(303) 674-1373
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 HD201762 CO Primary

Addresses

Primary practice location

3092 Evergreen Pkwy
Suite 202
Evergreen, CO 80439-7849

Mailing address

29499 Buchanan Dr
Evergreen, CO 80439-8521
Phone (303) 842-3609

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

LicenseStateTypeSpecialty
HD201762COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740300615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29499 BUCHANAN DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398521",
            "telephone_number": "303-842-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3092 EVERGREEN PKWY",
            "address_2": "SUITE 202",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397849",
            "telephone_number": "303-674-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANICHELLI",
        "first_name": "ELLEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RDH., BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "HD201762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.