NICHOLAS GUAJARDO BOHLING (NPI# 1225650989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225650989 |
| Entity Type | Individual |
| Full Name | NICHOLAS GUAJARDO BOHLING |
| Practice Address |
4th and Inner Loop Road Bldg 171 Fort Irwin CA 92310 |
| Practice Telephone | 7195265537 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| 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 |
4TH AND INNER LOOP ROAD BLDG 171 |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851627012 | Nha-nam Duc Do | Dentist | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2009-10-22 |
| 1841813292 | Deja Leticia Gomez-lewis | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-20 |
| 1447872106 | Mya Latrice Harris | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-15 |
| 1760018154 | Nhat Truong | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-03-17 |
| 1659903235 | Maria Jose Blazquez-gomez | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-02-11 |
| 1831577105 | Keri Lynn Brandt | Dental Hygienist | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2015-05-07 |
| 1932497500 | Sung Soo Kim | Dentist | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2011-07-18 |
| 1245547520 | Joshua Hyungkyu Lee | Dentist | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| 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 |
|---|---|---|---|---|
| 1710490511 | Tiffany Leann Elsey | Dental Assistant | 4655 Omaha Beach St, Fort Irwin, CA 92310-1914 | 2017-11-15 |
| 1053824862 | Marvy Blancaflor Walker | Dental Assistant | 5029 Calico Ct Apt B, Fort Irwin, CA 92310-2750 | 2017-11-15 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1528570835 | Andrea Smith Hamilton | Dental Assistant | 9089 Langford Lake Rd, Fort Irwin, CA 92310-2316 | 2017-10-26 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| 1841813292 | Deja Leticia Gomez-lewis | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-20 |
| 1447872106 | Mya Latrice Harris | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-15 |
| 1760018154 | Nhat Truong | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-03-17 |
| 1659903235 | Maria Jose Blazquez-gomez | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-02-11 |
| Find all providers in FORT IRWIN | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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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.