Active NPI
Connie Beatty, RDH, MS
- Dental Hygienist
- Albuquerque, NM
National Provider Identifier
1750757852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH4307
- Practice address
- Msc09 5020
1 University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (505) 272-1179
- Fax
- (505) 272-5584
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH4307 | NM | Primary |
Addresses
Primary practice location
Msc09 5020
1 University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
Msc09 5020
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-1179
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH4307 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1750757852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC09 5020",
"address_2": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-1179",
"fax_number": "505-272-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MSC09 5020",
"address_2": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-1179",
"fax_number": "505-272-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "CONNIE",
"name_prefix": "Prof.",
"credential": "RDH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH4307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.