DIANNE ELLIOTT BRADDOCK (NPI# 1154583813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154583813 |
| Entity Type | Individual |
| Full Name | DIANNE ELLIOTT BRADDOCK |
| Credential | DA II |
| Practice Address |
318 Turnersburg Hwy Statesville NC 28625-2798 |
| Practice Telephone | 7048785300 |
| Mailing Telephone | 7048785300 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 126800000X | NC | Dental Providers |
| Street Address |
318 TURNERSBURG HWY |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093790859 | County of Iredell | Clinic/Center | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2005-12-14 |
| 1225599426 | Gaston Family Health Services, Inc. | Clinic/Center | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2019-03-29 |
| 1457822769 | Brittanie Kendrick | Registered Nurse | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2018-12-13 |
| 1891264560 | Meredith Totten Hanes | Social Worker | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2018-11-25 |
| 1518479021 | Brian Dale Riffe | Licensed Practical Nurse | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2017-10-25 |
| 1457888356 | Gidget J. Wilson | Registered Nurse | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2017-05-23 |
| 1760919658 | Norman Dwaine Murphy | Licensed Practical Nurse | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2017-05-22 |
| 1447612031 | Mary Kathryne Miller | Counselor | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2016-03-23 |
| 1790146330 | David Porter | Social Worker | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2016-03-10 |
| 1518324052 | Amy Troy | Social Worker | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2016-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| 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 |
|---|---|---|---|---|
| 1457532376 | Shanika Evette Dixon | Dental Assistant | 916 Mclaughlin St, Statesville, NC 28677-6836 | 2007-11-20 |
| 1174708515 | Kimberly Burton Turner | Dental Assistant | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2008-01-04 |
| 1972796936 | Catherine Laura Lackey | Dental Assistant | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2007-08-23 |
| 1174664387 | Deborah Tarter Duplain | Dental Assistant | 318 Turnersburg Hwy, Statesville, NC 28625 | 2007-02-09 |
| 1639246713 | Marjorie Romitz | Dental Assistant | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2006-11-30 |
| 1811086333 | Brandy Ann Thompson | Dental Assistant | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442227 | Amber Goodman Brigman | Dental Assistant | 91 Hickory Tree Rd, Asheville, NC 28805-1616 | 2020-06-24 |
| 1336798081 | Brooke Bateman | Dental Assistant | 1060 Godwin Dr, Williamston, NC 27892-6827 | 2019-09-05 |
| 1346700283 | Tiffany Ann Brown | Dental Assistant | 85 Tripoli Dr, Cameron, NC 28326-5542 | 2019-03-25 |
| 1457835647 | Lorelle Layden Baum | Dental Assistant | 1288 Northside Rd, Elizabeth City, NC 27909-8526 | 2018-09-24 |
| 1598910895 | Kamesha Barber | Dental Assistant | 4924 Coolridge Ct Apt E, Raleigh, NC 27616-4521 | 2008-12-01 |
| 1851437537 | Tera Boyd Green | Dental Assistant | 1012 W Stokes St, China Grove, NC 28023-8303 | 2007-01-29 |
| 1720177983 | Gerri P. Howell | Dental Assistant | 3798 Old Mountain Rd, Stony Point, NC 28678-9467 | 2006-10-12 |
| 1609322551 | Yvonne Reid | Dental Assistant | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-08-31 |
| 1508312463 | Margo Pate | Dental Assistant | 2817 Reilly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1700332665 | Amelia Cerne | Dental Assistant | 2817 Reilly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.