Organization Active NPI

Holistic Smiles

  • Dental Hygienist
  • Fort Collins, CO
National Provider Identifier
1831860246
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
HOLISTIC SMILES
Practice address
2001 S Shields St BLDG B
Fort Collins, CO 80526-1827
Phone
(970) 999-5147
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Joy Driscoll, RDHNPI 1902271737
Title
Owner
Phone
(970) 999-5147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

2001 S Shields St BLDG B
Fort Collins, CO 80526-1827

Mailing address

PO Box 272241
Fort Collins, CO 80527-2241
Phone (612) 910-8616

Other practice location 1

4745 Boardwalk Dr # 102
Fort Collins, CO 80525-3768
Phone (970) 999-5147

Other practice location 2

1514 E Harmony Rd Unit 4
Fort Collins, CO 80525-8003
Phone (970) 999-5147

National Provider Directory

National Provider Directory

Locations

4745 Boardwalk Dr
#102
Fort Collins, CO 80525
Phone (970) 999-5147

2001 S Shields St
Bldg B
Fort Collins, CO 80526
Phone (612) 910-8616

1514 E Harmony Rd
Unit 4
Fort Collins, CO 80525
Phone (970) 377-2557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1831860246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272241",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805272241",
            "telephone_number": "612-910-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST BLDG B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-999-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Boardwalk Dr # 102",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253768",
            "country_code": "US",
            "telephone_number": "970-999-5147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 E Harmony Rd Unit 4",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805258003",
            "country_code": "US",
            "telephone_number": "970-999-5147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-999-5147",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.