Organization Active NPI

In Home Dental of Northern Colorado

Doing business as In Home Dental

  • Dental Hygienist
  • Windsor, CO
National Provider Identifier
1922405398
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2023596 Issued in CO
Legal business name
IN HOME DENTAL OF NORTHERN COLORADO
Doing business as
In Home Dental
Practice address
651 Babine CT
Windsor, CO 80550-3179
Phone
(970) 686-1183
Fax
(970) 674-8090
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Mrs. Tamara F Percifield, RDHNPI 1861896169
Title
Owner/Operator
Phone
(970) 686-1183

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 2023596 CO Primary

Addresses

Primary practice location

651 Babine CT
Windsor, CO 80550-3179

Mailing address

651 Babine CT
Windsor, CO 80550-3179
Phone (970) 686-1183

Other names 1

  • In Home Dental Doing business as

National Provider Directory

National Provider Directory

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": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1922405398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BABINE CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503179",
            "telephone_number": "970-686-1183",
            "fax_number": "970-674-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 BABINE CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503179",
            "telephone_number": "970-686-1183",
            "fax_number": "970-674-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME DENTAL OF NORTHERN COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PERCIFIELD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "970-686-1183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "2023596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Home Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.