Brighter Image Dental Hygiene Spa, LLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

903880 Issued in CO

Legal business name

BRIGHTER IMAGE DENTAL HYGIENE SPA, LLC

Practice address

115 Elk Ave. Suite C
Suite 1442
Crested Butte, CO 81224-1442

Phone

(970) 275-5000

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia KubisiakNPI 1851696439

Title

RDH, Owner

Phone

(970) 275-5000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Kubisiak, RDH

  • Dental Hygienist
  • Montrose, CO
  • NPI 1851696439
  NPD (past) Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1841545571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ELK AVE.",
            "address_2": "SUITE C",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241442",
            "telephone_number": "970-275-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ELK AVE. SUITE C",
            "address_2": "SUITE 1442",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241442",
            "telephone_number": "970-275-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER IMAGE DENTAL HYGIENE SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KUBISIAK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "RDH, OWNER",
        "authorized_official_telephone_number": "970-275-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "903880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Bedore, FNP
• Rebecca Bell-Dumas, MS LPC LLC
• Heather Biery, L.AC.
• Jennifer Chocole Birnie, M.S.W.
• Julie Anne Bremer, PMHNP-BC
• Brock Westover DDS, M.Ed.P.C. (Elk Avenue Family Dentistry)
• Janelle Brown
• Valerie Brust, RN, BSN
• Michael Buisson
• Yolanda Anne Burnite, RMT

• Dental Hygienist in Crested Butte, CO
• Providers in Crested Butte, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.