MOBILE OUTREACH ALLIANCE
NPI 1265067425
Dental Hygienist in Arvada, CO

Active since March 09, 2020CLIA 06D2225876 · Waiver
8422 W 78TH CIR, ARVADA, CO 80005(303) 506-4698 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mobile Outreach Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE OUTREACH ALLIANCE (NPI 1265067425) is a healthcare organization registered as a dental hygienist in Arvada, Colorado and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Olga Romanovna Kogan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265067425
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameMOBILE OUTREACH ALLIANCE
Location Address8422 W 78TH CIRArvada, CO 80005-4407
Mailing Address8422 W 78th CirArvada, CO 80005-4407 · (303) 506-4698
Organization SubpartNo
Authorized OfficialOlga Romanovna KoganCeo · (303) 506-4698
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
NPI 1265067425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
8422 W 78TH CIR, Arvada, CO 80005

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2225876

Mobile Outreach Alliance · Arvada, CO
Active · expires May 24, 2027
CLIA Number06D2225876
Laboratory TypeDental
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorOlga Kogan
Laboratory Phone(303) 506-4698
Laboratory LocationMobile Outreach Alliance8422 West 78th Circle, Arvada, CO 80005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005
Dental Hygienist
8422 W 78TH CIR
ARVADA, CO 80005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobile Outreach Alliance's NPI number?

The NPI number for Mobile Outreach Alliance is 1265067425. It was assigned to this organization in the NPPES registry on March 9, 2020.

Where is Mobile Outreach Alliance located?

Mobile Outreach Alliance is located at 8422 W 78th Cir, Arvada, CO 80005. The listed phone number is (303) 506-4698.

What is Mobile Outreach Alliance's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Does Mobile Outreach Alliance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2225876) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mobile Outreach Alliance was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.