Healthy Grillz Dental Hygiene PBC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

000905643 Issued in CO

Legal business name

HEALTHY GRILLZ DENTAL HYGIENE PBC

Practice address

12391 E Cornell Ave Unit 3
Aurora, CO 80014-3323

Phone

(720) 496-6422

NPI assigned

Jan 30, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie Diane Wood, RDH

Title

Manager/Owner

Phone

(720) 496-6422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1740648179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12391 E CORNELL AVE UNIT 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "720-496-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12391 E CORNELL AVE UNIT 3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "720-496-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY GRILLZ DENTAL HYGIENE PBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "720-496-6422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000905643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Aurora, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.