Individual provider Active NPI

Emily Paige Clarkson, RDH

  • Dental Hygienist
  • Fort Collins, CO
National Provider Identifier
1851968663
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH.002024882 Issued in CO
Practice address
4745 E Boardwalk Dr.
Building C Suite 2
Fort Collins, CO 80525
Phone
(970) 405-8223
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH.002024882 CO Primary

Addresses

Primary practice location

4745 E Boardwalk Dr.
Building C Suite 2
Fort Collins, CO 80525

Mailing address

100 S Maple Ave Unit 14
Eaton, CO 80615-8103
Phone (970) 405-8223

Other practice location 1

100 S Maple Ave Unit 14
Eaton, CO 80615-8103
Phone (970) 405-8223

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

LicenseStateTypeSpecialty
DH.002024882COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1851968663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAPLE AVE UNIT 14",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806158103",
            "telephone_number": "970-405-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 E BOARDWALK DR.",
            "address_2": "BUILDING C SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-405-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Maple Ave Unit 14",
            "address_purpose": "LOCATION",
            "city": "Eaton",
            "state": "CO",
            "postal_code": "806158103",
            "country_code": "US",
            "telephone_number": "970-405-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "EMILY",
        "middle_name": "PAIGE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002024882",
            "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 Jun 9, 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.

Verify at the official NPI Registry.