BERTILA MARTINEZ (NPI# 1104253947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104253947 |
| Entity Type | Individual |
| Full Name | BERTILA MARTINEZ |
| Credential | RDH |
| Practice Address |
14600 Se 176th St #v4 Renton WA 98058 |
| Practice Telephone | 4802412129 |
| Mailing Telephone | 4802412129 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HL 00008008 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DENTAL HYGIENIST | HL 00008008 | 01 |
| Street Address |
14600 SE 176TH ST #V4 |
| City | RENTON |
| State | WA |
| Zip Code | 98058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1508210154 | Lucy Johnson | Specialist/Technologist | 11808 Se 172nd Ln Apt N303, Renton, WA 98058 | 2016-04-20 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| 1619037157 | Fairwood Orthodontics | Dentist | 14300 Se Petrovitsky Road, Renton, WA 98058 | 2006-12-12 |
| Find all providers in zip 98058 | ||||
| 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 |
|---|---|---|---|---|
| 1093213316 | Paula Dinh Nguyen | Dental Hygienist | 2220 Se 8th Pl, Renton, WA 98055-3949 | 2018-02-01 |
| 1578964581 | Lien Thi Nguyen | Dental Hygienist | 4630 Ne 21st Pl, Renton, WA 98059-3854 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807755 | Karen Sloat Parker | Dental Hygienist | 1014 12th Ave N, Edmonds, WA 98020-2511 | 2020-10-05 |
| 1255948030 | Adisa Salaka | Dental Hygienist | 14335 Simonds Rd Ne Apt A303, Kirkland, WA 98034-9277 | 2020-09-25 |
| 1790391951 | Ann Marie O'connor | Dental Hygienist | 620 Glen St Apt 302, Edmonds, WA 98020-3236 | 2020-09-22 |
| 1396359691 | Lindsey Marie Tennant-moore | Dental Hygienist | 6515 5th Ave Ne Apt 202, Seattle, WA 98115-6451 | 2020-09-03 |
| 1356952568 | Stephanie Kleinbrook | Dental Hygienist | 1455 James St, Bellingham, WA 98225-4943 | 2020-08-11 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1487272860 | Diedre Snow Hill | Dental Hygienist | 1950 Pottery Ave Ste 170, Port Orchard, WA 98366-2591 | 2020-07-11 |
| 1922621929 | Rebecca Rose | Dental Hygienist | 4532 Dyes Inlet Rd Nw, Bremerton, WA 98312-1410 | 2020-05-26 |
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
| 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.