MR. MIGUEL JACOME JR. (NPI# 1134571755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134571755 |
| Entity Type | Individual |
| Full Name | MR. MIGUEL JACOME JR. |
| Credential | EFDA ASSISTANT |
| Practice Address |
N Division St Bldg 2103 Tacoma WA 98431-0001 |
| Mailing Address |
19710 13th Avenue Ct E Spanaway WA 98387-8046 |
| Practice Telephone | 2539667814 |
| Mailing Telephone | 2088186238 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |
| 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 |
N DIVISION ST BLDG 2103 |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319417 | Rosemary E Garvey | Dental Hygienist | N Division St Bldg 2103, Tacoma, WA 98431-1100 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 1609383561 | Barbara Thaler | Dental Assistant | 2008 Hillside Dr Ne, Tacoma, WA 98422-4268 | 2018-01-01 |
| 1710498803 | Kimberly Ann Walters | Dental Assistant | 11572 17th and C. Street, Tacoma, WA 98433 | 2017-10-17 |
| 1588182026 | Nguyen Smith-trinidad | Dental Assistant | North Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2017-09-05 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1518319151 | Lucy Comley | Dental Assistant | N Division St Bldg 2103p, Tacoma, WA 98431-0001 | 2016-07-07 |
| 1326499377 | Christina Posner | Dental Assistant | Madigan Annex 2nd Floor Bldg 9900, Tacoma, WA 98431-0001 | 2016-06-30 |
| 1144671298 | Melissa Sue Wilkins | Dental Assistant | Bldg 9900, 2nd Floor, Tacoma, WA 98431-0001 | 2016-06-29 |
| 1750716460 | Amanda G Hogan | Dental Assistant | 646 S State St, Tacoma, WA 98405-3036 | 2013-09-12 |
| 1144551003 | Carmen Marie Diaz | Dental Assistant | 7241 S Monroe St, Tacoma, WA 98409-2445 | 2010-01-15 |
| Find all providers in TACOMA | ||||
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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.