KRISTA M WALSH


Address: 890 Brookforest Ave Unit D, Shorewood, IL 60404-8838
Phone: 8157419697

KRISTA M WALSH (NPI# 1114540630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114540630
Entity Type Individual
Full Name KRISTA M WALSH
Credential RDH, PHDH
Practice Address 890 Brookforest Ave Unit D
Shorewood
IL 60404-8838
Mailing Address 5310 Meadowbrook St
Plainfield
IL 60586-7673
Practice Telephone 8157419697
Mailing Telephone 6307387936
Enumeration Date 2020-05-19
Last Update Date 2020-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 020009385 IL Dental Providers

Office Location

Street Address 890 BROOKFOREST AVE UNIT D
City SHOREWOOD
State IL
Zip Code 60404-8838

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669035242 Mobile Dental Care of Delaware, Pa Dentist 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 2019-04-18
1326476755 Christine Briski Speech-Language Pathologist 210 W Black Road, Shorewood, IL 60404 2013-10-22
1598000630 Michael G Mcdowell Nurse Practitioner 1039 Brookforest Ave, Shorewood, IL 60404 2012-11-29
1699028910 Patti-ann Ebert Occupational Therapist 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 2012-10-24
1043567720 Matthew Reiot Klebenow Occupational Therapist 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 2012-08-13
1366728222 Linda K Alonso Pharmacist 1160 W. Jefferson St., Shorewood, IL 60404 2011-10-24
1205110186 Lanie R Moreno Physical Therapist 850 Brookforest Ave Unit L, Shorewood, IL 60404 2011-10-10
1932386810 Advanced Family Dental of Shorewood, P.C. Dentist 150 N Brook Forest Drive, Shorewood, IL 60404 2008-01-23
1003025941 Kerri Lanum Specialist/Technologist 850 Brookforest Ave. F, Shorewood, IL 60404 2007-05-21
1124246756 Alexander Grabavoy Dentist 1007 W. Jefferson Street, Shorewood, IL 60404 2007-04-20
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457950891 Laura Jean Baus Dental Hygienist 519 E Bode Rd, Streamwood, IL 60107-6897 2020-10-17
1972114551 Chelsea R Black Dental Hygienist 428 N 8th St, Auburn, IL 62615-1006 2020-08-16
1912518150 Nicole Lynn Connell Dental Hygienist 204 Hwy 164 East, Oquawka, IL 61469 2020-08-12
1073122016 Ann Frederickson Dental Hygienist 9851 S Homan Ave, Evergreen Park, IL 60805-3041 2020-07-27
1588289805 Joy Lantz Dental Hygienist 16335 Harlem Ave Ste 422, Tinley Park, IL 60477-2877 2020-06-11
1740805381 Goran Lazic Dental Hygienist 109 Annapolis Dr, Vernon Hills, IL 60061-2057 2020-06-09
1568085991 Amy Lappin Dental Hygienist 335 Hidden Creek Rd, Lake Zurich, IL 60047-7116 2020-05-20
1881214658 Sherri Foran Dental Hygienist 127 60th St, Downers Grove, IL 60516-2038 2020-04-22
1124666573 Katherine Lynn Leiva Dental Hygienist 1791 Dempsey Cir, Pingree Grove, IL 60140-8019 2019-12-17
1417504192 Laura M Scully Dental Hygienist 7013 W Farragut Ave, Chicago, IL 60656-1923 2019-08-19
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Competitor

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City SHOREWOOD
Zip Code 60404

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Dataset Information

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.

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