KORYNN L BOLDEN (NPI# 1194350975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194350975 |
| Entity Type | Individual |
| Full Name | KORYNN L BOLDEN |
| Credential | RDH |
| Practice Address |
11324 Wagon Pl El Paso TX 79934-3373 |
| Practice Telephone | 9155048860 |
| Mailing Telephone | 9155048860 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 20637 | TX | Dental Providers |
| Street Address |
11324 WAGON PL |
| City | EL PASO |
| State | TX |
| Zip Code | 79934-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316424955 | Marcus Anthony Bolden | Behavior Technician | 11324 Wagon Pl, El Paso, TX 79934-3373 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1114409950 | Ricardo Macias | Physical Therapist | 11385 Cattle Ranch St., El Paso, TX 79934 | 2018-08-29 |
| 1124557582 | Maria Cristina Tollens | Registered Nurse | 11149 Loma Escondida Dr, El Paso, TX 79934 | 2017-06-08 |
| 1275915407 | Karla Durig | Day Training/Habilitation Specialist | 11609 Ochre Bluff Ln, El Paso, TX 79934 | 2015-06-24 |
| 1285919241 | Perri D Walter | Counselor | 4353 Loma De Brisas, El Paso, TX 79934 | 2011-10-20 |
| 1912203506 | Pm Management - El Paso I Nc LLC | Skilled Nursing Facility | 11169 Sean Haggerty, El Paso, TX 79934 | 2011-01-31 |
| 1487856761 | Louis E Zuniga | Physical Therapist | 4758 Loma Del Sur, Suite A, El Paso, TX 79934 | 2007-05-31 |
| 1861994808 | Hcn Ep Horizon City, LLC | General Acute Care Hospital | 11274 Mccombs St, El Paso, TX 79934 | 2018-03-06 |
| 1023083789 | Aaron R Elliott | Registered Nurse | William Beaumont Army Medical Center, 5005 North Piedras St., El Paso, TX 79934 | 2006-02-17 |
| Find all providers in zip 79934 | ||||
| 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 |
|---|---|---|---|---|
| 1568081792 | Miguel A Martinez | Dental Hygienist | 3308 Greenock St, El Paso, TX 79925-4100 | 2020-04-08 |
| 1831722057 | Dawn Anna Sackett | Dental Hygienist | 1640 N Zaragoza Rd # 2-213, El Paso, TX 79936-8004 | 2020-02-17 |
| 1003448903 | Erin Rachel Ginithan | Dental Hygienist | 1816 N Zaragoza Rd Ste B, El Paso, TX 79936-8019 | 2020-02-08 |
| 1801358924 | Slgi Choi | Dental Hygienist | 12409 Tierra Cipres Dr, El Paso, TX 79938-4529 | 2019-04-05 |
| 1811286479 | Victoria Xochilth Woelper | Dental Hygienist | 10124 Chezelle Dr, El Paso, TX 19925-5412 | 2011-04-05 |
| 1255577185 | April Elizabeth Aviles | Dental Hygienist | 608 S. St. Vrain, Centro De Salud Familiar La Fe, Inc., El Paso, TX 79901-2176 | 2008-12-24 |
| 1649473216 | Luz Maria Costabella | Dental Hygienist | 608 S Saint Vrain St, El Paso, TX 79901-3007 | 2007-06-08 |
| 1417164393 | Rachel Lyann Stone | Dental Hygienist | 6262 Escondido Dr, El Paso, TX 79912-1903 | 2007-05-17 |
| 1619441045 | Victor Alan Neff | Dental Hygienist | 5005 N. Piedras St., El Paso, TX 79920 | 2019-01-18 |
| 1457852626 | Sarah Johanna Cortes | Dental Hygienist | 5005 N Piedras St, El Paso, TX 79920-5002 | 2018-02-23 |
| Find all providers in EL PASO | ||||
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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.