MRS. KYRA J TRACY


Address: 608 S Missouri St., Waverly, MO 64096
Phone: 6604932262

MRS. KYRA J TRACY (NPI# 1003295460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003295460
Entity Type Individual
Full Name MRS. KYRA J TRACY
Credential RDH
Practice Address 608 S Missouri St.
Waverly
MO 64096
Mailing Address 608 S. Missouri St.
Waverly
MO 64096
Practice Telephone 6604932262
Practice Fax Number 6604932796
Mailing Telephone 6604932262
Mailing Fax Number 6604932796
Enumeration Date 2015-05-19
Last Update Date 2015-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 2013010347 MO Dental Providers

Office Location

Street Address 608 S MISSOURI ST.
City WAVERLY
State MO
Zip Code 64096

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346205796 Dorothy L Dighton Nurse Practitioner Missouri St & Hwy 24, Waverly, MO 64096 2006-04-19
1669843793 Cynthia Diane Stock Nurse Practitioner 608 Missouri St, Waverly, MO 64096 2015-10-15
1780957290 Jennifer Ann Patterson Registered Nurse 608 Missouri St, Waverly, MO 64096 2012-02-14
1679555114 Patrick J Lowry Psychiatry & Neurology 608 Missouri St, Waverly, MO 64096-8241 2005-11-18
1073086955 Ambria Michelle Wimsatt Social Worker 608 Missouri St, Waverly, MO 64096-8241 2019-01-03
1982179446 Marc David Archer Nurse Practitioner 608 Missouri St, Waverly, MO 64096-8241 2018-10-10
1982034773 Jefferson Medical Group Clinic/Center 608 Missouri St, Waverly, MO 64096-8241 2013-11-15
1881702454 Deborah G. Ashinhurst Nurse Practitioner 608 Missouri St, Waverly, MO 64096-8241 2006-08-25
1285699579 Gene A Mcfadden Family Medicine 608 Missouri St, Waverly, MO 64096-8241 2006-04-19
1174960769 Health Care Coalition of Lafayette County Clinic/Center 608 Missouri Street, Waverly, MO 64096-8421 2013-05-23
Find all providers in zip 64096

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy 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.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194323238 Marcia Poe Dental Hygienist 20815 S Dean Rd, Belton, MO 64012-9132 2020-10-12
1629682943 Seong Jin Park Dental Hygienist 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 2020-09-03
1447868542 Emily Sue Leslie Dental Hygienist 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 2020-07-15
1982198453 Traci Anne Shambo Dental Hygienist Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 2018-06-19
1396237863 Maegen Mone Taylor Dental Hygienist 547 S Business Highway 13, Lexington, MO 64067 2018-05-31
1740798750 Julie R Phillips Dental Hygienist 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 2018-01-12
1639618325 Tabitha Vollmer Dental Hygienist 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 2017-02-15
1588113773 Heather Annette Henke Dental Hygienist #5 Health Department Drive, Troy, MO 63379-4451 2016-09-28
1720532104 Angela Faurot Dental Hygienist 4001 Pine View Dr, Columbia, MO 65202-4209 2016-08-15
1497105688 Lisa Diane Moss Dental Hygienist 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 2016-06-17
Find all providers with the same taxonomy

Competitor

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City WAVERLY
Zip Code 64096

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Dataset Information

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.

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