PATRICIA CORDOVA (NPI# 1447801089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447801089 |
| Entity Type | Individual |
| Full Name | PATRICIA CORDOVA |
| Other Name | PATRICIA MEDINA |
| Credential | RDH, BS |
| Practice Address |
4315 N Maryvale Pkwy Phoenix AZ 85031-1942 |
| Mailing Address |
3433 E Flower St Phoenix AZ 85018-6251 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6236911770 |
| Mailing Telephone | 6025411005 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H008453 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619437886 | Patricia Cordova | Assistant Behavior Analyst | 915 Blanco Cir Ste C, Salinas, CA 93901-4450 | 2019-03-22 |
| Street Address |
4315 N MARYVALE PKWY |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073638953 | Brett Hudson | Psychologist | 4315 N Maryvale Pkwy, Phoenix, AZ 85031-1942 | 2007-03-20 |
| 1740663210 | Mountain Park Health Center | Clinic/Center | 4315 N Maryvale Pkwy, Phoenix, AZ 85031-1942 | 2015-07-02 |
| 1568870954 | Teresa Ault | Licensed Practical Nurse | 4315 N Maryvale Pkwy, Phoenix, AZ 85031-1942 | 2014-07-29 |
| 1669672697 | Dale Ann Manzoeillo | Nurse Practitioner | 4315 N Maryvale Pkwy, Phoenix, AZ 85031-1942 | 2007-07-18 |
| 1881715654 | Lindsey Binford | Speech-Language Pathologist | 4315 N Maryvale Pkwy, Phoenix, AZ 85031-1942 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| 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 |
|---|---|---|---|---|
| 1609484369 | Sarah Lewallen | Dental Hygienist | 14804 N Cave Creek Rd # 105, Phoenix, AZ 85032-4945 | 2020-07-20 |
| 1821549718 | Advalor Plc | Dental Hygienist | 1526 W Glendale Ave Ste 107, Phoenix, AZ 85021-8576 | 2016-10-17 |
| 1457809857 | Lyn D. Hughes | Dental Hygienist | 16208 S 1st St, Phoenix, AZ 85048-2007 | 2016-09-14 |
| 1952719395 | Tanya Valerie Mendoza | Dental Hygienist | 3140 W Buckeye Rd, Phoenix, AZ 85009-5637 | 2014-07-29 |
| 1932532975 | Barbara C Kogut | Dental Hygienist | 4910 E Chandler Blvd, Phoenix, AZ 85048-0866 | 2013-08-13 |
| 1922371186 | Nedra Poindexter | Dental Hygienist | 4910 E Chandler Blvd Ste 120, Phoenix, AZ 85048-0868 | 2012-02-20 |
| 1851628382 | Sonya Lannire Merideth | Dental Hygienist | 926 E. Mcdowell Rd., Ste 120, Phoenix, AZ 85006 | 2009-11-04 |
| 1184854366 | Janice Dearborn Sandler | Dental Hygienist | 4138 W Northern Ave, Phoenix, AZ 85051-5765 | 2009-07-21 |
| 1689834301 | Janice K Grutzius | Dental Hygienist | 15833 N 29th St, Phoenix, AZ 85032-3704 | 2008-06-16 |
| 1033322961 | Isabel Rodriquez | Dental Hygienist | 4015 N. 15th Ave, Phoenix, AZ 85015 | 2007-05-07 |
| Find all providers in PHOENIX | ||||
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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.