Active NPI
Tiffany Ottosen, RDH
- Dental Hygienist
- Rifle, CO
National Provider Identifier
1932477015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 903350
- Practice address
- 195 W 14TH
Rifle, CO 81650-4700 - Phone
- (970) 625-5200
- NPI assigned
- Dec 5, 2011
- Last updated
- Dec 5, 2011
- 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 | 903350 | CO | Primary |
Addresses
Primary practice location
195 W 14TH
Rifle, CO 81650-4700
Mailing address
2009 Odin Dr
Silt, CO 81652-8776
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 |
|---|---|---|---|
| 903350 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1932477015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 ODIN DR",
"city": "SILT",
"state": "CO",
"postal_code": "816528776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 W 14TH",
"city": "RIFLE",
"state": "CO",
"postal_code": "816504700",
"telephone_number": "970-625-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTOSEN",
"first_name": "TIFFANY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "903350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rifle, CO
- Stephanie Alyson Nick, RDN, CLC
- Heather Rose O'Donnell, PT, DPT
- Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
- Jorge Antonio Olivas Estebane, RN
- Shannon Orr
- Outlaw Medical Arts LLC
- Kathryn Padgett, PHARMD
- Anthony Passariello, LCSW
- Megan Patrick, D.O.
- Raelynn Pedersen, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.