AT YOUR DOOR DENTAL (NPI# 1003234253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003234253 |
| Entity Type | Organization |
| Organization Name | AT YOUR DOOR DENTAL |
| Practice Address |
25150 S. Larkin Rd. Beavercreek OR 97004 |
| Mailing Address |
Po Box 976 Beavercreek OR 97004 |
| Practice Telephone | 5036570392 |
| Mailing Telephone | 5036570932 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | MRS. N. ELAINE LANCASTER (DENTAL HYGIENIST) |
| Authorized Official Telephone | 5032773270 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5272 | OR | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AT YOUR DOOR DENTAL, LLC | 25150 S Larkin Rd, Beavercreek, OR 97004 |
| Street Address |
25150 S. LARKIN RD. |
| City | BEAVERCREEK |
| State | OR |
| Zip Code | 97004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538516331 | Deanna Lea Way | Registered Nurse | 22062 S Ferguson Rd, Beavercreek, OR 97004-7625 | 2016-05-21 |
| 1528171923 | Graham Douglas Shea | Dentist | 21072 S Mountain Meadow Rd, Beavercreek, OR 97004-7699 | 2006-08-17 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
| 1376701888 | Vicki Lynn Miracle | Registered Nurse | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2008-05-30 |
| 1003420407 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2020-09-02 |
| 1811200108 | Greg Glenn Gill Jr. | Counselor | 25915 S Fallsview Rd, Beavercreek, OR 97004-9638 | 2010-07-15 |
| 1033345038 | Laura Bartko | Advanced Practice Midwife | 23841 S Fellows Rd, Beavercreek, OR 97004-9726 | 2009-06-03 |
| 1902043748 | Deborah Frances | Naturopath | 25884 S Beeson Rd, Beavercreek, OR 97004-9748 | 2009-01-15 |
| 1710181425 | Karen Zondervan | Counselor | 25003 S Beeson Rd, Beavercreek, OR 97004-9783 | 2007-06-14 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| Find all providers in zip 97004 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| 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. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789439 | Carlin Chung | Dental Hygienist | 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 | 2020-10-30 |
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1366051955 | Tia Glanding | Dental Hygienist | 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 | 2020-07-29 |
| 1396354098 | Sierra Nicole Miller | Dental Hygienist | 2383 Nw Hackamore Ln, Prineville, OR 97754-8011 | 2020-07-28 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1174159453 | Tiffany Bunn | Dental Hygienist | 7313 Ne Imbrie Dr, Hillsboro, OR 97124-7595 | 2020-03-18 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1073144671 | Michelle Yen Nguyen | Dental Hygienist | 15280 Se Baron Loop, Happy Valley, OR 97086-4468 | 2020-02-01 |
| 1265063440 | Megan Diane Hinchcliff | Dental Hygienist | 106 Maple Blvd, Wood Village, OR 97060-1111 | 2020-01-28 |
| 1598305765 | Gisela Zepeda | Dental Hygienist | 5851 Se Chase Rd, Gresham, OR 97080-8282 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 97004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.