Active NPI
Elise Renee Quintana
- Dental Hygienist
- Pueblo, CO
National Provider Identifier
1942197538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH000002837
- Practice address
- 110 E Routt Ave
Pueblo, CO 81004-2117 - Phone
- (719) 564-4823
- NPI assigned
- Jun 18, 2025
- 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 | DH000002837 | CO | Primary |
Addresses
Primary practice location
110 E Routt Ave
Pueblo, CO 81004-2117
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone (719) 564-4823
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 |
|---|---|---|---|
| DH000002837 | CO | MD | Dental Hygienist |
Interoperability endpoints
- elise.quintana.p1@direct.pueblochc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1942197538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E ROUTT AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042117",
"telephone_number": "719-564-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E ROUTT AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042117",
"telephone_number": "719-564-4823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "ELISE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH000002837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.