Amanda Dicristina, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002023627 Issued in CO

Practice address

1815 Jet Wing Dr
Colorado Springs, CO 80916-2300

Phone

(719) 632-5700

NPI assigned

May 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Hamilton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.dicristina.p1@direct.peakvista.nextgenshare.com

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1831577964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 HALF MOON CIR",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616021",
            "telephone_number": "720-220-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 JET WING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162300",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICRISTINA",
        "first_name": "AMANDA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002023627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAMILTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Nicole Dickson, LSW
• Linda E Dickson, MA CCC-SLP
• Mary M. Dickson, M.D.
• William J Dickson, D.D.S
• Irrah Marie Tariman Dico, MA
• Kristine Megan Diedrich, R.N.
• Rachel Marie Marientes Diega, PHARM.D
• Angie Diehl, MA, LPC, NCC
• James T Diehl
• Rebecca Ann Diekelman, CCC-SLP

• Dental Hygienist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.