MRS. TERESA ANN EDMONDS I (NPI# 1376656215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376656215 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ANN EDMONDS I |
| Credential | EFDA DENTAL ASSISTAN |
| Practice Address |
1314 Ne Grand Ave Portland OR 97232-1127 |
| Mailing Address |
599 Se 42nd Cir Troutdale OR 97060-2591 |
| Practice Telephone | 5032802877 |
| Practice Fax Number | 5033313095 |
| Mailing Telephone | 5032802877 |
| Mailing Fax Number | 5033313095 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 0839 | OR | Dental Providers |
| Street Address |
1314 NE GRAND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659303493 | Robert Dawson Barrett | Dentist | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2006-07-06 |
| 1568094696 | Elizabeth Nadia Osintsev | Dental Hygienist | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2020-02-06 |
| 1417424086 | Samantha Joyce Shoemaker | Dental Assistant | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2018-10-31 |
| 1073026621 | Natosha L Bannister | Dental Assistant | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2017-11-06 |
| 1982156113 | Kaiser Foundation Health Plan of The Northwest | Dentist | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2016-11-04 |
| 1023488954 | Sharon Lynne Brown | Dental Hygienist | 1314 Ne Grand Ave, Portland, OR 97232 | 2015-10-05 |
| 1437526399 | Megan Hill | Dental Hygienist | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2015-08-26 |
| 1760885636 | Krista Spencer | Dental Assistant | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2014-10-06 |
| 1467882118 | Nancy Lo | Dental Hygienist | 1314 Ne Grand Ave, Portland, OR 97232 | 2013-11-16 |
| 1265875710 | Jessica Helen Myers | Dental Hygienist | 1314 Ne Grand Ave, Portland, OR 97232-1127 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616970 | Miryam Gallardo | Dental Assistant | 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 | 2020-07-06 |
| 1366911521 | Falasteen Adel | Dental Assistant | 1346 Ne 134th Ave, Portland, OR 97230-3211 | 2018-11-16 |
| 1730449893 | Tammy Loraine Rongone | Dental Assistant | 822 N.e. 181st. Ave, Portland, OR 97230-6708 | 2012-05-23 |
| 1205101201 | Patrick Stevens Edwards | Dental Assistant | 8728 N Haven Ave, Portland, OR 97203-3426 | 2012-03-09 |
| 1548464258 | Julie Rose Jennings | Dental Assistant | 11732 Se Malden Ct, Portland, OR 97266-8101 | 2007-06-14 |
| 1750594164 | Christine Marie Hassing | Dental Assistant | 10102 Ne Glisan, Portland, OR 97220 | 2007-05-08 |
| 1598835423 | Alona Elizabeth Polecastro | Dental Assistant | 4512 Se Woodstock, Portland, OR 97206 | 2006-11-08 |
| 1285724021 | Rachael Annette Chambers | Dental Assistant | 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 | 2006-10-13 |
| 1760584809 | Wanessa Chambers | Dental Assistant | 5319 Ne Killingsworth St, Portland, OR 97218-2400 | 2006-09-01 |
| 1407963127 | Christina A Robledo | Dental Assistant | North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 | 2006-08-25 |
| Find all providers in PORTLAND | ||||
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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.