Stormy Ivie Colbath, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2521 Issued in ME

Practice address

195 Cider Hill Rd
Exeter, ME 04435-3030

Phone

(207) 379-2605

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smiles for Life, PA

  • Dental Hygienist
  • Exeter, ME
  • NPI 1619283850
  NPD (past) Authorized official

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1891928982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CIDER HILL RD",
            "city": "EXETER",
            "state": "ME",
            "postal_code": "044353030",
            "telephone_number": "207-379-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CIDER HILL RD",
            "city": "EXETER",
            "state": "ME",
            "postal_code": "044353030",
            "telephone_number": "207-379-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBATH",
        "first_name": "STORMY",
        "middle_name": "IVIE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "2521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434519100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Carney Butterfield, RDH
• Lindsay Whitney Crane
• Familysupports
• Pat Jubinville
• Mary-Margaret Roseberry, L.AC.
• Laura Sholtz, PH.D

• Dental Hygienist in Exeter, ME
• Providers in Exeter, ME by specialty
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.