Kylee Montoya
Individual provider Active NPI Dental Hygienist · Rifle, CO
NPI 1831601822 · NPPES record last updated Oct 30, 2017
Key facts
- NPI
- 1831601822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH.002024450 (CO)
- Practice address
- 195 W 14TH
Rifle, CO 81650-4716 - Phone
- (970) 625-5200
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH.002024450 | CO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH.002024450 | CO | Yes |
Addresses
Primary practice location
195 W 14TH
Rifle, CO 81650-4716
Mailing address
PO Box 1665
Gypsum, CO 81637-1665
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.