Individual provider Active NPI

Carolyn Kay Anello, RDH

  • Dental Hygienist
  • Aurora, CO
National Provider Identifier
1972927374
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
905629 Issued in CO
Practice address
1666 Elmira St
Aurora, CO 80010-2122
Phone
(720) 460-0995
Fax
(877) 434-7701
NPI assigned
Feb 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 905629 CO Primary

Addresses

Primary practice location

1666 Elmira St
Aurora, CO 80010-2122

Mailing address

1656 Elmira St
Aurora, CO 80010-2122
Phone (720) 460-0995

Other identifiers 1

IdentifierTypeStateIssuer
49580523MedicaidCO

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
905629COMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1972927374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 ELMIRA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102122",
            "telephone_number": "720-460-0995",
            "fax_number": "877-434-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 ELMIRA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102122",
            "telephone_number": "720-460-0995",
            "fax_number": "877-434-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANELLO",
        "first_name": "CAROLYN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49580523",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.