Individual provider Active NPI

Christina Rodriguez

  • Dental Hygienist
  • Greeley, CO
National Provider Identifier
1750027934
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH.002026336 Issued in CO
Practice address
4552 Centerplace Dr Ste 200
Greeley, CO 80634-3759
Phone
(970) 400-7822
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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.002026336 CO Primary

Addresses

Primary practice location

4552 Centerplace Dr Ste 200
Greeley, CO 80634-3759

Mailing address

1410 W 11TH St Unit 27
Alamosa, CO 81101-3375
Phone (719) 588-1859

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.002026336COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Dental Professionals, LLC CurrentSince May 16, 2022 Accepting new patients

Locations

4552 Centerplace Dr
Ste 200
Greeley, CO 80634
Phone (970) 400-7822

Organizations & group practices 1

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1750027934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W 11TH ST UNIT 27",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013375",
            "telephone_number": "719-588-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 CENTERPLACE DR STE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343759",
            "telephone_number": "970-400-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002026336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.