Active NPI
Renee SNN Simmons, RDH
- Dental Hygienist
- Louisville, CO
National Provider Identifier
1932373370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 904619
- Practice address
- 877 S Boulder Rd
Louisville, CO 80027-1345 - Phone
- (303) 665-8228
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 904619 | CO | Primary |
Addresses
Primary practice location
877 S Boulder Rd
Louisville, CO 80027-1345
Mailing address
877 S Boulder Rd
Louisville, CO 80027-1345
Phone (303) 665-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16403576 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 904619 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1932373370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 S BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271345",
"telephone_number": "303-665-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 S BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271345",
"telephone_number": "303-665-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "RENEE",
"middle_name": "SNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "904619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16403576",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.