Organization Active NPI

Healthy Smiles Dental Hygiene Care, Inc.

  • Dental Hygienist
  • Gunnison, CO
National Provider Identifier
1942446786
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
201441 Issued in CO
Legal business name
HEALTHY SMILES DENTAL HYGIENE CARE, INC.
Practice address
144 N Main St
Suite D
Gunnison, CO 81230-2365
Phone
(970) 642-0338
NPI assigned
Dec 29, 2008
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Mrs. Leslie Ann Hearne, RDHNPI 1629222823
Title
President/Dental Hygienist
Phone
(970) 642-0338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 201441 CO Primary

Addresses

Primary practice location

144 N Main St
Suite D
Gunnison, CO 81230-2365

Mailing address

144 N Main St
Suite D
Gunnison, CO 81230-2365
Phone (970) 642-0338

Other identifiers 1

IdentifierTypeStateIssuer
22622349MedicaidCO

National Provider Directory

National Provider Directory

Locations

144 N Main St
Unit D
Gunnison, CO 81230
Phone (970) 641-6095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1942446786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "address_2": "SUITE D",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302365",
            "telephone_number": "970-642-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "address_2": "SUITE D",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302365",
            "telephone_number": "970-642-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL HYGIENE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "HEARNE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/DENTAL HYGIENIST",
        "authorized_official_telephone_number": "970-642-0338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "201441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22622349",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.