Individual provider Active NPI

Ahren Danielle Moydell, RDH

  • Dental Hygienist
  • Montrose, CO
National Provider Identifier
1972086825
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
0001184 Issued in CO
Practice address
87 Merchant Dr # 81401
Montrose, CO 81401-3015
Phone
(970) 252-8896
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 0001184 CO Primary

Addresses

Primary practice location

87 Merchant Dr # 81401
Montrose, CO 81401-3015

Mailing address

539 S 4TH St
Montrose, CO 81401-4218
Phone (303) 619-1566

Other identifiers 1

IdentifierTypeStateIssuer
0001184OtherCODORA

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

LicenseStateTypeSpecialty
0001184COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Hygienist Next Door Dental Hygienist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1972086825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S 4TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014218",
            "telephone_number": "303-619-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MERCHANT DR # 81401",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013015",
            "telephone_number": "970-252-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYDELL",
        "first_name": "AHREN",
        "middle_name": "DANIELLE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "0001184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "0001184",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.