KIMBERLY ANN BRASIL (NPI# 1083112221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083112221 |
Entity Type | Individual |
Full Name | KIMBERLY ANN BRASIL |
Practice Address |
9663 Old Redwood Hwy Penngrove CA 94951-9610 |
Practice Telephone | 7075482789 |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | HAP669 | CA | Dental Providers |
Street Address |
9663 OLD REDWOOD HWY |
City | PENNGROVE |
State | CA |
Zip Code | 94951-9610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639783848 | Christina N Wallace | Massage Therapist | 308 Oak Street, Penngrove, CA 94951 | 2020-09-04 |
1922126689 | Regina Ann Wilson-seppa | Specialist | 730 Goodwin Ave, Penngrove, CA 94951-8623 | 2007-03-27 |
1578912481 | Jennifer Lisa Madrid | Licensed Psychiatric Technician | 574 Formschlag Ln, Penngrove, CA 94951-8715 | 2016-06-10 |
1740673748 | Alexander Edward Perrotti | Marriage & Family Therapist | 3450 Lichau Rd, Penngrove, CA 94951-8720 | 2015-03-15 |
1053382911 | Robert Rowen Herzog | Physical Therapist | 8690 Petaluma Hill Rd, Penngrove, CA 94951-8734 | 2006-01-30 |
1467416743 | Donald Minor | Specialist | 4960 Rebecca Dr, Penngrove, CA 94951-9519 | 2006-04-13 |
1689080194 | Edward Rosen | Physical Therapist | 6575 Eagle Ridge Rd, Penngrove, CA 94951-9575 | 2014-07-03 |
1356458541 | Alexandra Advocate | Marriage & Family Therapist | 10864 Minnesota Ave, Penngrove, CA 94951-9617 | 2006-08-24 |
1043628829 | Stephen Smith | Counselor | 520 Orchard Ln, Penngrove, CA 94951-9659 | 2014-07-24 |
1144857475 | Natalie Diane Hole | Speech-Language Pathologist | 1379 Dutch Ln, Penngrove, CA 94951-9718 | 2020-03-25 |
Find all providers in zip 94951 |
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 |
---|---|---|---|---|
1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
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.