MRS. KESIA NICHOLE DAVIS EAGLIN (NPI# 1235377219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235377219 |
Entity Type | Individual |
Full Name | MRS. KESIA NICHOLE DAVIS EAGLIN |
Credential | RDA |
Practice Address |
2483 Bunche Pl Riverside CA 92507-5710 |
Practice Telephone | 9515366841 |
Enumeration Date | 2009-01-28 |
Last Update Date | 2009-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 126800000X | Dental Assistant | 69704 | CA | Dental Providers |
Street Address |
2483 BUNCHE PL |
City | RIVERSIDE |
State | CA |
Zip Code | 92507-5710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
Find all providers in zip 92507 |
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 |
---|---|---|---|---|
1932713328 | Nancy Alejandra Cortes | Dental Assistant | 2862 Canyon Springs Pkwy Ste B, Riverside, CA 92507-0928 | 2020-09-02 |
1588275291 | Darek Ray Fonder | Dental Assistant | 2862 Canyon Springs Pkwy, Riverside, CA 92507-0928 | 2020-08-14 |
1932699048 | Rosalina A Rangel | Dental Assistant | 3380 La Sierra Ave # 1018, Riverside, CA 92503-5271 | 2018-05-14 |
1093240665 | Daniel Gutierrez Solis | Dental Assistant | 5355 Kent Ave, Riverside, CA 92503-2428 | 2017-04-20 |
1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
1134570583 | Jessica Carmenate | Dental Assistant | 11137 Oriole Dr, Riverside, CA 92505-2430 | 2016-06-27 |
1114394970 | Linda Rocio Galdamez | Dental Assistant | 11251 Reddiford Ct, Riverside, CA 92505-2340 | 2015-08-27 |
1508100272 | Maria Verdin | Dental Assistant | 11136 Oriole Dr, Riverside, CA 92505-2430 | 2012-11-20 |
1770888109 | Nancy B. Gomez | Dental Assistant | 17886 Orangewood Ln, Riverside, CA 92503-7061 | 2011-01-15 |
1780826081 | Nicole R Rector | Dental Assistant | 11975 Herman Dr, Riverside, CA 92505-3715 | 2009-04-01 |
Find all providers in RIVERSIDE |
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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.