JAMIE HORACEK (NPI# 1013453935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013453935 |
| Entity Type | Individual |
| Full Name | JAMIE HORACEK |
| Practice Address |
29 Ketch Creek Cir Lawton OK 73507-9030 |
| Mailing Address |
Bldg. 652 Hamilton Rd Usa Dental Activity Ft. Sill OK 73503 |
| Practice Telephone | 5804423905 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2779 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | HYGIENE | 124Q00000X | 01 |
| Street Address |
29 KETCH CREEK CIR |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-9030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| 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 |
|---|---|---|---|---|
| 1114566734 | Martha Vivian Cendejas | Dental Hygienist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2019-12-30 |
| 1558370213 | Marietta Canty Marlow | Dental Hygienist | 1315 W Gore Blvd, Lawton, OK 73501-3605 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821697 | Erica Danielle Sampson | Dental Hygienist | 715 N Oklahoma Ave, Tahlequah, OK 74464-2411 | 2019-06-27 |
| 1609347657 | Aimee Rachelle Cherry | Dental Hygienist | Sam Hider Dental Clinic, 859 E Melton Dr., Jay, OK 74346 | 2018-12-16 |
| 1316435472 | Sheri Bolay | Dental Hygienist | 3629 Nw 68th St, Oklahoma City, OK 73116-2015 | 2018-04-24 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1639624968 | Michael Hurd II | Dental Hygienist | 27685 S 170 Rd, Henryetta, OK 74437-1427 | 2016-08-16 |
| 1396110334 | Toni Coats | Dental Hygienist | 2810 W 61st Pl, Tulsa, OK 74132-1325 | 2015-12-02 |
| 1801214614 | Michell May | Dental Hygienist | 20 Sw 102nd St, Oklahoma City, OK 73139-9003 | 2014-03-31 |
| 1720426091 | Rickie Lee Harper | Dental Hygienist | 12136 S Yukon Ave, Sapulpa, OK 74066-6621 | 2013-06-10 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| 1760768097 | Emily Hazelbush | Dental Hygienist | 5551 Mockingbird Ln, Blanchard, OK 73010-7862 | 2011-11-01 |
| Find all providers with the same taxonomy | ||||
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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.