AMBER M RANDLE (NPI# 1336748516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336748516 |
| Entity Type | Individual |
| Full Name | AMBER M RANDLE |
| Credential | RDH |
| Practice Address |
1730 S 13th St Milwaukee WI 53204-3201 |
| Practice Telephone | 4143833220 |
| Mailing Telephone | 4143833220 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1002902 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 1002902 | 01 |
| Street Address |
1730 S 13TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508188764 | Oleesa Shapowal | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2010-02-15 |
| 1578117289 | Nathalie R Guzman | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2019-07-31 |
| 1205318102 | Outreach Community Health Centers, Inc. | Clinic/Center | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2018-09-06 |
| 1972022010 | Christina M Morley | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2017-09-10 |
| 1437688132 | Danielle Mari Demorrow | Dentist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2017-06-06 |
| 1811441009 | Houa Lee | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2016-08-05 |
| 1609240472 | Tia Dorsey | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2015-11-17 |
| 1124410154 | Ashley Weber | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2015-02-27 |
| 1891183257 | Tina Prentice | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2015-01-07 |
| 1215333166 | Lindsey Moelter | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| 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 |
|---|---|---|---|---|
| 1760850614 | Michelle Boettcher | Dental Hygienist | 2552 S Brisbane Ave, Milwaukee, WI 53207-1502 | 2015-09-09 |
| 1093110058 | Florina Pinskaya | Dental Hygienist | 4302 N 76th St, Milwaukee, WI 53222-2004 | 2014-11-01 |
| 1699192948 | Elizabeth S Dietzler | Dental Hygienist | 4619 W Blue Mound Ct, Milwaukee, WI 53208-3607 | 2014-03-25 |
| 1508188764 | Oleesa Shapowal | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2010-02-15 |
| 1033360763 | Kory Pilkington | Dental Hygienist | 1308 S. Cesar Chavez Drive, Milwaukee, WI 53204-0408 | 2008-09-30 |
| 1477725786 | Gina L Tolson | Dental Hygienist | 2669 N 92nd St, Milwaukee, WI 53226-1800 | 2008-03-26 |
| 1215020128 | Sharon Wildes | Dental Hygienist | Milwaukee Vamc Dental Clinic, 5000 National Ave, Milwaukee, WI 53295-0001 | 2006-10-02 |
| 1255360632 | Carol Lynn Bright | Dental Hygienist | 1135 South Cesar Chavez Drive, Milwaukee, WI 53204 | 2006-06-30 |
| 1790781185 | Michele Straetz | Dental Hygienist | 2306 S Kinnickinnic Ave, Milwaukee, WI 53207-1626 | 2005-06-22 |
| 1750994968 | Doua Yang | Dental Hygienist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-08-26 |
| Find all providers in MILWAUKEE | ||||
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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.