MS. KERI SANDBERG (NPI# 1356625594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356625594 |
| Entity Type | Individual |
| Full Name | MS. KERI SANDBERG |
| Credential | RDH |
| Practice Address |
1029 Howard St Ste 201 Evanston IL 60202 |
| Mailing Address |
3716-89th Street #201 Kenosha WI 53142 |
| Practice Telephone | 8474910660 |
| Mailing Telephone | 2629455297 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5176-16 | WI | Dental Providers |
| Street Address |
1029 HOWARD ST STE 201 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922096171 | Frank Lambros Karkazis | Dentist | 1029 Howard St, Suite 201, Evanston, IL 60202-3877 | 2005-10-12 |
| 1245543289 | Preferred Dentistry Associates of Wisconsin, L.L.C. | Dentist | 1029 Howard St, Suite 201, Evanston, IL 60202-3877 | 2010-07-20 |
| 1992024566 | Brandi Lynn Berland | Dental Hygienist | 1029 Howard St, Evanston, IL 60202-3877 | 2010-05-21 |
| 1801125513 | Maria Borzecka, Dds, Corp | Health Maintenance Organization | 1029 Howard St, Evanston, IL 60202-3877 | 2009-12-09 |
| 1306173299 | Preferred Dental, P.C. | Dentist | 1029 Howard St, Suite 201, Evanston, IL 60202-3877 | 2009-11-12 |
| 1740515386 | Christian Nolten D M D Ltd | Dentist | 1029 Howard St, Suite 201, Evanston, IL 60202-3877 | 2009-10-15 |
| 1861727232 | Nancy A Poznick, Dds, LLC | Dentist | 1029 Howard St, Suite 203, Evanston, IL 60202-3877 | 2009-10-02 |
| 1447584560 | T Marie PC | Dentist | 1029 Howard St, Evanston, IL 60202-3877 | 2009-09-22 |
| 1861666992 | Dr. Donald H. Saltzman, D.d.s., P.C. | Dentist | 1029 Howard St, Evanston, IL 60202-3877 | 2008-04-18 |
| 1215153606 | Preferred Dentistry Associates,p.c. | Clinic/Center | 1029 Howard St, #203, Evanston, IL 60202-3877 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| 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 |
|---|---|---|---|---|
| 1992024566 | Brandi Lynn Berland | Dental Hygienist | 1029 Howard St, Evanston, IL 60202-3877 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950891 | Laura Jean Baus | Dental Hygienist | 519 E Bode Rd, Streamwood, IL 60107-6897 | 2020-10-17 |
| 1972114551 | Chelsea R Black | Dental Hygienist | 428 N 8th St, Auburn, IL 62615-1006 | 2020-08-16 |
| 1912518150 | Nicole Lynn Connell | Dental Hygienist | 204 Hwy 164 East, Oquawka, IL 61469 | 2020-08-12 |
| 1073122016 | Ann Frederickson | Dental Hygienist | 9851 S Homan Ave, Evergreen Park, IL 60805-3041 | 2020-07-27 |
| 1588289805 | Joy Lantz | Dental Hygienist | 16335 Harlem Ave Ste 422, Tinley Park, IL 60477-2877 | 2020-06-11 |
| 1740805381 | Goran Lazic | Dental Hygienist | 109 Annapolis Dr, Vernon Hills, IL 60061-2057 | 2020-06-09 |
| 1568085991 | Amy Lappin | Dental Hygienist | 335 Hidden Creek Rd, Lake Zurich, IL 60047-7116 | 2020-05-20 |
| 1114540630 | Krista M Walsh | Dental Hygienist | 890 Brookforest Ave Unit D, Shorewood, IL 60404-8838 | 2020-05-19 |
| 1881214658 | Sherri Foran | Dental Hygienist | 127 60th St, Downers Grove, IL 60516-2038 | 2020-04-22 |
| 1124666573 | Katherine Lynn Leiva | Dental Hygienist | 1791 Dempsey Cir, Pingree Grove, IL 60140-8019 | 2019-12-17 |
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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.