Serene Dental Hygiene

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

DH000902947 Issued in CO

Legal business name

SERENE DENTAL HYGIENE

Practice address

7770 N Union Blvd
Suite a
Colorado Springs, CO 80920-4087

Phone

(719) 290-9804

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Lori Jo Kinzer, RDH

Title

President

Phone

(719) 290-9804

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1982074142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 ENGLETON CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206150",
            "telephone_number": "719-290-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 N UNION BLVD",
            "address_2": "SUITE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204087",
            "telephone_number": "719-290-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE DENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-290-9804",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "DH000902947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245606268",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.