ELSA ECCLES (NPI# 1174910822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174910822 |
| Entity Type | Individual |
| Full Name | ELSA ECCLES |
| Credential | RDH |
| Practice Address |
900 W Orman Ave Pueblo CO 81004-1430 |
| Practice Telephone | 7195493286 |
| Practice Fax Number | 7195493136 |
| Mailing Telephone | 7195493286 |
| Mailing Fax Number | 7195493136 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 000202004 | CO | Dental Providers |
| Street Address |
900 W ORMAN AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437327582 | Pueblo Community College | Dentist | 900 W Orman Ave, Mt 130, Pueblo, CO 81004-1430 | 2008-02-12 |
| 1760852867 | Marisa Lee Camper | Dental Hygienist | 900 W Orman Ave, Dental Hygiene Program, Pueblo, CO 81004-1430 | 2015-10-01 |
| 1962886291 | Judy Costanza | Dental Hygienist | 900 W Orman Ave, Pueblo, CO 81004-1430 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1124533393 | Lauren Stewart | Dental Hygienist | 2824 7th Ave, Pueblo, CO 81003-1625 | 2017-12-09 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1144695917 | Megan Nicole Passig | Dental Hygienist | 2920 Thornberry Ln, Pueblo, CO 81005-5110 | 2015-12-04 |
| 1790171429 | Dr. Robert C. Davis | Dental Hygienist | 902 West 29th Street, Pueblo, CO 81008-1159 | 2015-04-09 |
| 1538550728 | Crystal Mae Shepherd | Dental Hygienist | 3165 E Spaulding Ave Apt 101, Pueblo, CO 81008-2243 | 2015-02-10 |
| 1720482607 | Jeanne Graves | Dental Hygienist | 2099 W. Us Hwy 50, Suite #180, Pueblo, CO 81008-1673 | 2014-10-21 |
| 1376947481 | Linda Capito | Dental Hygienist | 36197 Daniel Rd, Pueblo, CO 81006-9430 | 2014-10-17 |
| 1386079465 | Bernice Martinez | Dental Hygienist | 1700 N Salem Ave Ste B, Pueblo, CO 81001-2846 | 2013-09-09 |
| 1356780167 | Rita Sebastiana Ohrdorf | Dental Hygienist | 1000 W 6th St Ste V, Pueblo, CO 81003-2378 | 2013-06-14 |
| Find all providers in PUEBLO | ||||
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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.