MISS KRYSTAL LANE


Address: 1213 Coffee Rd Ste D, Modesto, CA 95355-4229
Phone: 2095225238

MISS KRYSTAL LANE (NPI# 1275674434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275674434
Entity Type Individual
Full Name MISS KRYSTAL LANE
Practice Address 1213 Coffee Rd Ste D
Modesto
CA 95355-4229
Practice Telephone 2095225238
Practice Fax Number 2095224703
Mailing Telephone 2095225238
Mailing Fax Number 2095224703
Enumeration Date 2007-02-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 126800000X Dental Assistant Dental Providers

Other Providers KRYSTAL LANE

NPI Name Taxonomy Address Enumeration
1437684271 Krystal Lane Nurse Practitioner 710 Joy Dr, Fort Mill, SC 29715-8402 2017-05-01

Office Location

Street Address 1213 COFFEE RD STE D
City MODESTO
State CA
Zip Code 95355-4229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679613327 Kathleen D Wright Dental Assistant 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2007-02-08
1053974196 Brian K. Hutto, Dmd, Inc. Clinic/Center 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2019-04-15
1033250287 Angelica Cruz Dental Assistant 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2007-02-09
1477694628 Tracy Sise Dental Assistant 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2007-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
Find all providers in zip 95355

Taxonomy Information

Taxonomy Code 126800000X
Grouping Dental Providers
Classification Dental Assistant

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801324108 Elizabeth Ramirez Dental Assistant 201 E Orangeburg Ave Ste A, Modesto, CA 95350-5355 2017-05-31
1679613327 Kathleen D Wright Dental Assistant 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2007-02-08
1508917675 April N Nelson-ehlers Dental Assistant 1316 Coffee Rd Ste E14, Dr Roland Young, Modesto, CA 95355 2007-01-16
1083774285 Stacie Anne Elson Dental Assistant 1130 Coffee Rd Ste 9a, Modesto, CA 95355-4228 2006-12-11
1801306493 Jennifer K Azevedo Dental Assistant 201 E Orangeburg Ave Ste A, Modesto, CA 95350-5355 2017-10-09
1477887628 Mirna Metcalf Dental Assistant 1316 Coffee Rd, Bldg E, Modesto, CA 95355-3191 2009-09-21
1306170568 Merissa Renee Apodaca Dental Assistant 1316 Coffee Rd Ste E14, Modesto, CA 95355-3191 2009-09-21
1033250287 Angelica Cruz Dental Assistant 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2007-02-09
1477694628 Tracy Sise Dental Assistant 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 2007-02-09
1669560082 Shelby Adrienne Thompson Dental Assistant 1316 Coffee Rd, Suite E14, Modesto, CA 95355-3191 2006-10-11
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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