Active NPI
Kitsha Odalys Alvarado, A.S. AND B.S.
- Dental Hygienist
- Hartford, CT
National Provider Identifier
1962043257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 008910
- Practice address
- 31 William Shorty Campbell St
Hartford, CT 06106-3401 - Phone
- (860) 278-1600
- NPI assigned
- Oct 8, 2019
- 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 | 008910 | CT | Primary |
Addresses
Primary practice location
31 William Shorty Campbell St
Hartford, CT 06106-3401
Mailing address
643 Hillside Ave
Hartford, CT 06106-4325
Phone (860) 805-3130
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
- Credentials
- Associate of Science, Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008910 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1962043257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 HILLSIDE AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061064325",
"telephone_number": "860-805-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 WILLIAM SHORTY CAMPBELL ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063401",
"telephone_number": "860-278-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "KITSHA",
"middle_name": "ODALYS",
"credential": "A.S. AND B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "008910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.