MRS. AMY DEANN ROBERTS (NPI# 1417176595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417176595 |
| Entity Type | Individual |
| Full Name | MRS. AMY DEANN ROBERTS |
| Credential | R.D.H. |
| Practice Address |
601 N 21st St Ozark MO 65721-9184 |
| Mailing Address |
1024 E Kingsbury St Springfield MO 65807-2033 |
| Practice Telephone | 4175825439 |
| Mailing Telephone | 4178230546 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2003012124 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149856 | Amy Roberts | Licensed Vocational Nurse | 1906 Wellington Dr, Grand Prairie, TX 75051-3739 | 2019-02-04 |
| 1245711175 | Amy Lynn Roberts | Specialist | 170 Rosewood Ter, Cheektowaga, NY 14225-3014 | 2018-08-28 |
| 1093110397 | Amy Roberts | Registered Nurse | 601 E Jackson St, Hugo, OK 74743-4024 | 2014-10-29 |
| 1497165609 | Amy Catherine Roberts | Speech-Language Pathologist | 2237 Palisade Blvd, Dupont, WA 98327-9760 | 2014-04-28 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1215185459 | Amy Elaine Roberts | Psychologist | 5640 Cottingham Ln, Charlotte, NC 28211-4234 | 2008-08-29 |
| 1669642088 | Amy Brown Roberts | Nurse Practitioner | 409 York Street, Athens, TX 75751-7389 | 2008-03-03 |
| 1518094069 | Amy Michelle Roberts | Dentist | 300 Plaza Dr Ste 102, Highlands Ranch, CO 80129-2310 | 2007-02-28 |
| 1679641336 | Amy Lynn Roberts | Counselor | 1276 W River St, Boise, ID 83702-7066 | 2006-12-01 |
| 1386754190 | Amy Fuller Roberts | Counselor | 1300 Austin Ave, Suite 203, Waco, TX 76701-1830 | 2006-08-30 |
| Street Address |
601 N 21ST ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-9184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871716480 | Gary Jones | Dentist | 601 N 21st St, Ozark, MO 65721-9184 | 2007-04-11 |
| 1366881906 | Kristin Michelle Oliver | Dentist | 601 N 21st St, Ozark, MO 65721-9184 | 2013-06-17 |
| 1578791943 | Joshua Tanner Rust | Dentist | 601 N 21st St, Ozark, MO 65721-9184 | 2009-06-24 |
| 1992928543 | John R. Craig | Dentist | 601 N 21st St, Ozark, MO 65721-9184 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| 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 |
|---|---|---|---|---|
| 1972986602 | Crystal Moser | Dental Hygienist | 2612 W Cover Dr, Ozark, MO 65721-5469 | 2015-06-30 |
| 1427271006 | Mary F Plate | Dental Hygienist | 601 N 21st St # 603, Ozark, MO 65721-9184 | 2007-04-11 |
| 1760689889 | Paula Elizabeth Ruth | Dental Hygienist | 601 N 21st St # 603, Ozark, MO 65721-9184 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
| 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.