MS. KIM IRENE CARBAJAL (NPI# 1376604298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376604298 |
| Entity Type | Individual |
| Full Name | MS. KIM IRENE CARBAJAL |
| Other Name | MS. KIM IRENE JONES |
| Credential | RDH |
| Practice Address |
13706 W Bell Rd Ste 2 Surprise AZ 85374 |
| Practice Telephone | 6235849910 |
| Practice Fax Number | 6235849940 |
| Mailing Telephone | 6235849910 |
| Mailing Fax Number | 6235849940 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 4251 | AZ | Dental Providers |
| Street Address |
13706 W BELL RD STE 2 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462705 | Rosa Maria Krasavage | Dentist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2006-03-24 |
| 1942602610 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 13706 W Bell Rd, Ste 10, Surprise, AZ 85374-3867 | 2014-09-24 |
| 1366776130 | Bryan W Harman | Dentist | 13706 W Bell Rd, Suite 2, Surprise, AZ 85374-3867 | 2009-09-28 |
| 1700024254 | Patricia Marie Moore | Dental Assistant | 13706 W Bell Rd, Suite 2, Surprise, AZ 85374 | 2009-01-21 |
| 1427206499 | Adrienne Constance Stotlar | Dental Assistant | 13706 W Bell Rd, Suite 2, Surprise, AZ 85374 | 2008-09-03 |
| 1508014572 | Brianne G Bowling | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2008-09-03 |
| 1215185285 | Angela Marie White | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2008-09-03 |
| 1588710651 | Vicki Lee Batten | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2007-01-25 |
| 1568518587 | Suncoast Dental Inc | Dentist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2007-01-25 |
| 1487711016 | Biljana Vranes | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
|---|---|---|---|---|
| 1679042378 | Jessica Marie Florez | Dental Hygienist | 12425 W Bell Rd Ste 120, Surprise, AZ 85378-9022 | 2018-11-26 |
| 1932417433 | Karen Renee Thomas | Dental Hygienist | 13375 W Grand Ave Ste 109, Surprise, AZ 85374-7076 | 2010-09-17 |
| 1609100478 | Jennifer Deleon Harman | Dental Hygienist | 14979 W Bell Rd Ste 150, Surprise, AZ 85374-3662 | 2009-09-28 |
| 1821171208 | Helenice Balena Arosteguy | Dental Hygienist | 13375 W Grand Ave, Ste 109, Surprise, AZ 85374-4070 | 2006-10-23 |
| 1295083202 | Smiles By Delivery, Pllc | Dental Hygienist | 15508 W Bell Rd, 101-525, Surprise, AZ 85374-2432 | 2012-08-22 |
| 1033467113 | Elaine Carmella Mamola | Dental Hygienist | 15508 W Bell Rd, 101-525, Surprise, AZ 85374-2432 | 2012-08-21 |
| 1457668998 | Zerrin Smedinghoff | Dental Hygienist | 13375 W Grand Ave, Ste. 109, Surprise, AZ 85374-7076 | 2010-09-03 |
| 1508014572 | Brianne G Bowling | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2008-09-03 |
| 1215185285 | Angela Marie White | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2008-09-03 |
| 1588710651 | Vicki Lee Batten | Dental Hygienist | 13706 W Bell Rd, Ste 2, Surprise, AZ 85374 | 2007-01-25 |
| Find all providers in SURPRISE | ||||
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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.