LAURI MICHELLE PECKELS (NPI# 1417321449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417321449 |
| Entity Type | Individual |
| Full Name | LAURI MICHELLE PECKELS |
| Credential | RDH,EPP |
| Practice Address |
1740 W 17th Ave Eugene OR 97402-3619 |
| Mailing Address |
1740 West 17th Eugene OR 97402-3619 |
| Practice Telephone | 8884680022 |
| Mailing Telephone | 8884680022 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5050 | OR | Dental Providers |
| Street Address |
1740 W 17TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427031350 | Hayden Family Dental Group | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2005-11-23 |
| 1437762473 | Vy Thanh Tran | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2020-08-28 |
| 1194369801 | Anastasia Mospanova | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2019-11-05 |
| 1134773724 | Austin Irene Lundin | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2019-07-31 |
| 1356995260 | Casey A Thein | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2019-07-29 |
| 1710431093 | Alexander Sonesson | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2016-08-04 |
| 1386197564 | Erin Kathleen Johnson | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2016-07-25 |
| 1639586340 | Tyler Schultze | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2014-07-14 |
| 1356756001 | Dana Matlock | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2014-06-20 |
| 1376979385 | Jeffrey Stuart Casebier | Dentist | 1740 W 17th Ave, Eugene, OR 97402-3619 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| 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 |
|---|---|---|---|---|
| 1730645656 | Melinda Tenasha Davis | Dental Hygienist | 3354 Talon St, Eugene, OR 97408-7560 | 2019-02-15 |
| 1841704392 | Jo Ann Obie-eldredge | Dental Hygienist | 1849 Willamette St Ste 1b, Eugene, OR 97401-4683 | 2017-11-20 |
| 1861910226 | Dara Ann Moser Dudley | Dental Hygienist | 2703 Delta Oaks Dr Ste 300, Eugene, OR 97408-1700 | 2017-09-06 |
| 1912361858 | Gail Margaret Johnson | Dental Hygienist | 85078 Chezem Rd, Eugene, OR 97405-9438 | 2016-04-06 |
| 1932570298 | Janelle Christine Blondin | Dental Hygienist | 2286 Devon Ave, Eugene, OR 97408-7563 | 2015-10-13 |
| 1437548435 | Kathleen Grover | Dental Hygienist | 130 Kourt Dr, Eugene, OR 97404-2208 | 2015-01-13 |
| 1730585993 | Stacie A Banks | Dental Hygienist | 1321 Zinfandel Ln, Eugene, OR 97404-3873 | 2014-11-14 |
| 1508272311 | Michelle Daggett | Dental Hygienist | 2010 Hawkins Ln, Eugene, OR 97405-1324 | 2014-07-01 |
| 1801209622 | Cris Houser | Dental Hygienist | 759 Fair Oaks Dr, Eugene, OR 97401-2392 | 2014-06-09 |
| 1841602380 | Jill Jones | Dental Hygienist | 2640 Willamette St, Eugene, OR 97405 | 2014-06-02 |
| Find all providers in EUGENE | ||||
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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.