MS. KATHY J. EKLUND (NPI# 1104029974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104029974 |
| Entity Type | Individual |
| Full Name | MS. KATHY J. EKLUND |
| Credential | RDH MHP |
| Practice Address |
140 Fenway Boston MA 02115-3782 |
| Practice Telephone | 6178928216 |
| Mailing Telephone | 6178928216 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 7583 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA LICENSE # FOR RDH | 7583 | 01 |
| Street Address |
140 FENWAY |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497977177 | Forsyth Dental Infirmary for Children | Dentist | 140 Fenway, Boston, MA 02115 | 2007-05-03 |
| 1942418223 | Mary Angela Tavares | Dentist | 140 Fenway, Boston, MA 02115-3782 | 2007-05-18 |
| 1003029679 | Richard Niederman | Dentist | 140 Fenway, Boston, MA 02115-3782 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| 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 |
|---|---|---|---|---|
| 1407346349 | Kathryn Dolan | Dental Hygienist | 59 Wren St, Boston, MA 02132-2626 | 2018-05-16 |
| 1114465267 | Erin Walsh | Dental Hygienist | 21 Drydock Ave, Boston, MA 02210-2384 | 2017-02-09 |
| 1548675234 | Francisca Tan | Dental Hygienist | 1 Yarmouth Pl Apt 3, Boston, MA 02116-5870 | 2014-06-22 |
| 1386933422 | Chester Chen | Dental Hygienist | 180 Lincoln St Ste 2a, Boston, MA 02111-2400 | 2011-03-29 |
| 1487956835 | Melissa Jean Leite | Dental Hygienist | 250 Washington Street, Boston, MA 02108 | 2010-11-17 |
| 1457502510 | Paula Morrison | Dental Hygienist | 250 Washington St Fl 5, Boston, MA 02108-4603 | 2008-10-08 |
| 1235297169 | Catherine Marie Dooling | Dental Hygienist | North End Community Health Center, 332 Hanover Street, Boston, MA 02109 | 2006-12-04 |
| 1356942296 | Maria Diluigi | Dental Hygienist | 1 Kneeland St, Boston, MA 02111-1527 | 2020-11-06 |
| 1417440322 | Elaine Conroy | Dental Hygienist | 200 Harrison Ave Fl 2, Boston, MA 02111-1836 | 2018-06-14 |
| 1245723154 | Maureen Favorito | Dental Hygienist | 200 Harrison Ave Fl 2, Boston, MA 02111-1836 | 2018-06-14 |
| Find all providers in BOSTON | ||||
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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.