Active NPI
Candice Kusterle, RDH
- Dental Hygienist
- Colorado Springs, CO
National Provider Identifier
1821689274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 904420
- Practice address
- 5170 N Union Blvd Ste 104
Colorado Springs, CO 80918-2057 - Phone
- (719) 332-9495
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 904420 | CO | Primary |
Addresses
Primary practice location
5170 N Union Blvd Ste 104
Colorado Springs, CO 80918-2057
Mailing address
PO Box 5935
Woodland Park, CO 80866-5935
Phone (719) 332-9495
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Teeth.candicerdh@gmail.com | Direct | |
| CONNECT URL | Teeth.candicerdh@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 904420 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1821689274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5935",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808665935",
"telephone_number": "719-332-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 N UNION BLVD STE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809182057",
"telephone_number": "719-332-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSTERLE",
"first_name": "CANDICE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "904420",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Teeth.candicerdh@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "X-rays , oral camera photos, notes",
"address_1": "5170 N Union Blvd Ste 104",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809182057",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Teeth.candicerdh@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5170 N Union Blvd Ste 104",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809182057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.