JESSICA BEAVER (NPI# 1356864516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356864516 |
| Entity Type | Individual |
| Full Name | JESSICA BEAVER |
| Credential | RDH, BS |
| Practice Address |
13073 S Plum Grove Ct Herriman UT 84096-5763 |
| Practice Telephone | 8019061619 |
| Mailing Telephone | 18019061619 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 9041914-9920 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326658337 | Jessica Margaret Beaver | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-04 |
| Street Address |
13073 S PLUM GROVE CT |
| City | HERRIMAN |
| State | UT |
| Zip Code | 84096-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1548539554 | Neck and Back Relief | Chiropractor | 12600 S. 4013 W., Suite E, Riverton, UT 84096 | 2011-12-20 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| Find all providers in zip 84096 | ||||
| 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 |
|---|---|---|---|---|
| 1316553738 | Gina Tippets | Dental Hygienist | 5990 Fashion Point Dr Ste 2, South Ogden, UT 84403-5179 | 2020-09-21 |
| 1619583671 | Karolee Goins | Dental Hygienist | 597 W 5300 S, Murray, UT 84123-5647 | 2020-09-16 |
| 1922663210 | Shelley D Brown | Dental Hygienist | 180 E 300 N, Orem, UT 84057-4712 | 2019-05-02 |
| 1669989307 | Victoria Rose Bills | Dental Hygienist | 3891 Stadium Way Dept 3920, Ogden, UT 84408-8369 | 2018-01-03 |
| 1093221475 | Heidi Lynn Gardiner | Dental Hygienist | 7116 N 5500 W, Newton, UT 84327-0234 | 2017-12-20 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1720592421 | Denver Bauter | Dental Hygienist | 980 S 500 W Ste 1, Brigham City, UT 84302-3094 | 2017-11-17 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1336665132 | Karol Angela Aldrich | Dental Hygienist | 450 E 3700 S, Salt Lake City, UT 84115-4634 | 2017-08-14 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| Find all providers with the same taxonomy | ||||
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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.