Elizabeth Corene Davenport, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.000906617 Issued in CO

Practice address

190 Talisman Dr Unit D4
Pagosa Springs, CO 81147-9171

Phone

(970) 585-4424

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Davenport Dental Hygiene

  • Dental Clinic/Center
  • Pagosa Springs, CO
  • NPI 1629671425
  NPD Authorized official

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1992307995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR UNIT D4",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-585-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR UNIT D4",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-585-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Lewis St # 3D",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811477508",
            "country_code": "US",
            "telephone_number": "970-398-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ELIZABETH",
        "middle_name": "CORENE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.000906617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Archuleta
• Lauren Crawford
• Angela Diedring Dahm, RDH
• Summer Damico
• Davenport Dental Hygiene
• James Richard Davis
• Randall Davis, DDS
• Dayspring Chiropractic LLC
• DDS Catalyst Pagosa, LLC
• Crystal Defield

• Dental Hygienist in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.