MAURICE COLEMAN (NPI# 1073129284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073129284 |
| Entity Type | Individual |
| Full Name | MAURICE COLEMAN |
| Practice Address |
1055 E Stewart Ave Bldg 2018 Peterson Afb CO 80914-2900 |
| Practice Telephone | 7195561333 |
| Mailing Telephone | 7195561333 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
1055 E STEWART AVE BLDG 2018 |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558573212 | Amy Ann Campbell | Dentist | 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900 | 2007-05-04 |
| 1487269668 | Sarah Choi | Dental Hygienist | 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900 | 2020-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372476 | Mary B Medige | Dental Assistant | 21 Dental Squadron/sgdd, 1055 E. Stewart Bldg 2018, Peterson Afb, CO 80925 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455736 | Ashlee Kristina Griffin | Dental Assistant | 1055 E Stewart Ave Bldg 2019, Colorado Springs, CO 80914-2900 | 2020-10-19 |
| 1548876543 | Ana Doran | Dental Assistant | 1055 E Stewart Ave, Colorado Springs, CO 80914-2900 | 2020-09-16 |
| 1902458862 | Dezi Grace Doppel | Dental Assistant | 8580 Scarborough Dr Ste 240, Colorado Springs, CO 80920-7584 | 2019-07-11 |
| 1861053498 | Jennifer Regina Sanford | Dental Assistant | 595 Chapel Hills Dr Ste 300, Colorado Springs, CO 80920-1057 | 2019-06-25 |
| 1861058562 | Megan Breanna Kaufman | Dental Assistant | 10016 Crystal Cir, Commerce City, CO 80022-9559 | 2019-05-17 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1851804595 | Nick Gregorio Cayetano | Dental Assistant | 7205 Coral Ridge Dr, Colorado Springs, CO 80925-9404 | 2017-11-15 |
| 1891214243 | Sara Jane Rocks | Dental Assistant | 1090 Hill Cir, Colorado Springs, CO 80904-1034 | 2017-09-18 |
| 1851818751 | Jeri Rene Morris Schmidt | Dental Assistant | 7380 Glenburn Dr, Fountain, CO 80817-4087 | 2017-08-23 |
| 1497277826 | Cassandra Lynn Thompson | Dental Assistant | 3038 W Kiowa St, Colorado Springs, CO 80904-2119 | 2017-07-07 |
| Find all providers with the same taxonomy | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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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.