Aspen to Parachute Dental Health Alliance

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH3120 Issued in CO

Legal business name

ASPEN TO PARACHUTE DENTAL HEALTH ALLIANCE

Practice address

20 Eagle County Rd
Carbondale, CO 81623-9125

Phone

(970) 309-2064

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Kelly Jean Keeffe, RDH

Title

Regional Oral Health Consultatn

Phone

(970) 309-2064

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1962819383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816021251",
            "telephone_number": "970-309-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAGLE COUNTY RD",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239125",
            "telephone_number": "970-309-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN TO PARACHUTE DENTAL HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "KEEFFE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "REGIONAL ORAL HEALTH CONSULTATN",
        "authorized_official_telephone_number": "970-309-2064",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH3120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90721756",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.