KRISTA MOORE (NPI# 1063870095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063870095 |
| Entity Type | Individual |
| Full Name | KRISTA MOORE |
| Credential | RDH |
| Practice Address |
5071 Ne 122nd Ave Portland OR 97230-1003 |
| Mailing Address |
7105 Sw Hampton St Tigard OR 97223-8314 |
| Practice Telephone | 5032555700 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5720 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144550914 | Krista Moore | Occupational Therapist | 6909 Ashwood Rd, Apt 101, Woodbury, MN 55125-1289 | 2009-12-30 |
| 1023627767 | Krista Kay Moore | Counselor | 505 S Washburn St, Oshkosh, WI 54904-7949 | 2020-07-29 |
| 1922591148 | Krista Annalise Johnson Moore | Dentist | 2800 E 136th Ave, Thornton, CO 80241-3417 | 2018-06-12 |
| 1508369521 | Krista Moore | Student in an Organized Health Care Education/Training Program | 937 Franklin Blvd, Lemoore, CA 93246-5004 | 2018-03-15 |
| 1144741489 | Krista Moore | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2017-06-27 |
| 1255869459 | Krista Moore | Registered Nurse | 38883 Hwy 299, Willow Creek, CA 95573-0726 | 2017-06-01 |
| 1043768393 | Krista Ann Moore | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-09-15 |
| 1396193140 | Krista Moore | Massage Therapist | 289 E Ellendale Ave Ste 601, Dallas, OR 97338-1570 | 2016-06-01 |
| 1609173863 | Krista Lou Moore | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-23 |
| Street Address |
5071 NE 122ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982792636 | Nathan G Dustin | Dentist | 5071 Ne 122nd Ave, Portland, OR 97230-1003 | 2006-10-10 |
| 1245683911 | Lance Bergeson | Dentist | 5071 Ne 122nd Ave, Portland, OR 97230-1003 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| 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 |
|---|---|---|---|---|
| 1053939025 | Raghda A. Salman | Dental Hygienist | 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 | 2020-07-07 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1710545710 | Diane Phan | Dental Hygienist | 9151 Se Woodstock Blvd, Portland, OR 97266-5369 | 2019-06-04 |
| 1598264228 | Elizabeth Gordon | Dental Hygienist | 601 Sw Second Ave., Portland, OR 97204-3156 | 2018-02-08 |
| 1649787300 | Allison Renee Gerdes | Dental Hygienist | 3514 Ne Broadway St, Portland, OR 97232-1821 | 2018-01-03 |
| 1992217566 | Megan Van Noy | Dental Hygienist | 8332 Sw 21st Ave Apt 12, Portland, OR 97219-2853 | 2017-11-03 |
| 1861918005 | Kaiser Permanente Dental Care Program | Dental Hygienist | 2930 Ne Dekum St, Portland, OR 97211-6613 | 2017-08-18 |
| 1033634100 | Oma Casandra Hampton | Dental Hygienist | 7018 Ne 10th Ave, Portland, OR 97211-4081 | 2017-08-09 |
| 1932636214 | Hannah Elizabeth Lachance | Dental Hygienist | 131 Johnson Rd, Portland, ME 04102-1988 | 2017-05-17 |
| Find all providers in PORTLAND | ||||
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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.