SELENE MATA (NPI# 1245624030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245624030 |
| Entity Type | Individual |
| Full Name | SELENE MATA |
| Credential | RDH |
| Practice Address |
385 Calle De Alegra Building C Las Cruces NM 88005-3423 |
| Mailing Address |
Po Box 13725 Las Cruces NM 88013-3725 |
| Practice Telephone | 5755321933 |
| Mailing Telephone | 5755321933 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 3683 | NM | Dental Providers |
| Street Address |
385 CALLE DE ALEGRA BUILDING C |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933759 | Kathleen Jo Austin | Nurse Practitioner | 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005 | 2005-06-21 |
| 1447799549 | Marie Montreal-robles | Marriage & Family Therapist | 385 Calle De Alegra, Bldg A, Las Cruces, NM 88005-3423 | 2017-02-22 |
| 1487000212 | Jorge Garcia | Case Manager/Care Coordinator | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005-3423 | 2016-05-11 |
| 1275940439 | Daniel Fierro | Social Worker | 385 Calle De Alegra, Bldg A, Las Cruces, NM 88005-3423 | 2014-07-18 |
| 1518214428 | Naryana Rao Enuganti | Dentist | 385 Calle De Alegra, Bldg C, Las Cruces, NM 88005 | 2012-08-09 |
| 1467663278 | La Clinica De Familia | Pharmacy | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005 | 2007-05-24 |
| 1205809944 | La Clinica De Familia, Inc. | Clinic/Center | 385 Calle De Alegra, Bldg. B, Las Cruces, NM 88005-3423 | 2006-02-13 |
| 1346213808 | La Clinica De Familia, Incorporated | Clinic/Center | 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005-3423 | 2006-02-07 |
| 1740286863 | La Clinica De Familia, Inc. | Clinic/Center | 385 Calle De Alegra, Bldg. A, Las Cruces, NM 88005-3423 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| 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 |
|---|---|---|---|---|
| 1245764331 | Tammy Carvlin Tellez | Dental Hygienist | 4464 Vista De Luz Ct, Las Cruces, NM 88011-0917 | 2017-04-14 |
| 1437517570 | Patricia Vanessa Chaparro | Dental Hygienist | 6891 Coyote Rd, Las Cruces, NM 88012-6517 | 2016-02-03 |
| 1437530094 | Arturo Salcido | Dental Hygienist | 1322 Mission Nuevo Dr Apt B, Las Cruces, NM 88011-7156 | 2015-06-09 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1376846352 | Melissa Huerta | Dental Hygienist | 2633 Bearcat Dr, Las Cruces, NM 88001-1597 | 2010-12-13 |
| 1962640755 | Cheryl L. Stiles | Dental Hygienist | 335 La Colonia St, Las Cruces, NM 88005-2901 | 2009-02-02 |
| 1174161301 | Jenna Sanchez | Dental Hygienist | 1160 El Paseo Rd, Las Cruces, NM 88001-6045 | 2019-12-18 |
| 1205327376 | Cecilia Sedillo | Dental Hygienist | 8600 Bataan Memorial E, Las Cruces, NM 88011-6016 | 2018-05-24 |
| 1316438302 | Gabriella M Della - Ratta | Dental Hygienist | 385 Calle De Alegra Bldg C, Las Cruces, NM 88005-3423 | 2018-05-24 |
| 1811363328 | Janessa Fisher | Dental Hygienist | 1998 N Motel Blvd, Las Cruces, NM 88007-4100 | 2015-08-19 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on SELENE MATA.
| 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.