TARA LEE KIMBALL (NPI# 1154744647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154744647 |
| Entity Type | Individual |
| Full Name | TARA LEE KIMBALL |
| Credential | RDH |
| Practice Address |
99 W 26th St Holland MI 49423-4970 |
| Practice Telephone | 6163923610 |
| Practice Fax Number | 6163923632 |
| Mailing Telephone | 6163923610 |
| Mailing Fax Number | 6163923632 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902010638 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508980822 | Tara Kimball | Occupational Therapy Assistant | 6800 Park Ten Blvd, San Antonio, TX 78213-4211 | 2007-03-19 |
| Street Address |
99 W 26TH ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528344363 | Benjamin H Wickstra Dds Pllc | Dentist | 99 W 26th St, Holland, MI 49423-4970 | 2011-10-25 |
| 1598223901 | Laura Lee Slagh | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2019-03-05 |
| 1457712721 | Lisa Bailey | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-03-15 |
| 1659738326 | Jennifer Feenstra | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-26 |
| 1699132472 | Elizabeth Brower | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-25 |
| 1104282060 | Rebecca Jill Beekman | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-07 |
| 1114358140 | Holland Free Health Clinic | Public Health or Welfare | 99 W 26th St, Holland, MI 49423-4970 | 2013-12-02 |
| 1295164556 | Holland Free Health Clinic | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| 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 |
|---|---|---|---|---|
| 1407354988 | Emily Sierra Favour | Dental Hygienist | 291 W Lakewood Blvd Ste 105, Holland, MI 49424-1969 | 2018-01-30 |
| 1023045929 | Christine Anne Sandera | Dental Hygienist | 285 James Street, Holland, MI 49424 | 2006-06-27 |
| 1598223901 | Laura Lee Slagh | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2019-03-05 |
| 1265887798 | Mary Patricia Balke | Dental Hygienist | 285 James Street, Intercare Community Health Network, Holland, MI 49424 | 2016-05-03 |
| 1265894224 | Madeline Rose Jaesche | Dental Hygienist | 285 James Street, Intercare Community Health Network, Holland, MI 49424 | 2016-03-28 |
| 1457712721 | Lisa Bailey | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-03-15 |
| 1659738326 | Jennifer Feenstra | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-26 |
| 1699132472 | Elizabeth Brower | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-25 |
| 1104282060 | Rebecca Jill Beekman | Dental Hygienist | 99 W 26th St, Holland, MI 49423-4970 | 2016-01-07 |
| 1609284140 | Martha J Owocki | Dental Hygienist | 285 James Street, Holland, MI 49022-1849 | 2014-07-29 |
| Find all providers in HOLLAND | ||||
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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.