NPIMap

Organization Active NPI

Impressions Dental Spa

  • Dental Hygienist
  • Denver, CO
National Provider Identifier
1962811166
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
905564 Issued in CO
Legal business name
IMPRESSIONS DENTAL SPA
Practice address
191 University Blvd # 522
Denver, CO 80206-4613
Phone
(720) 663-0166
NPI assigned
Aug 13, 2014
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Amy Angell, RDHNPI 1003259425
Title
Owner, RDH
Phone
(720) 663-0116

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 HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 905564 CO Primary

Addresses

Primary practice location

191 University Blvd # 522
Denver, CO 80206-4613

Mailing address

191 University Blvd # 522
Denver, CO 80206-4613
Phone (720) 663-0116

National Provider Directory

National Provider Directory

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": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1962811166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 UNIVERSITY BLVD # 522",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064613",
            "telephone_number": "720-663-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 UNIVERSITY BLVD # 522",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064613",
            "telephone_number": "720-663-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSIONS DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER, RDH",
        "authorized_official_telephone_number": "720-663-0116",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.