COREY MOELLER (NPI# 1447883855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447883855 |
| Entity Type | Individual |
| Full Name | COREY MOELLER |
| Practice Address |
2824 Ne Moda Way Apt 1335 Hillsboro OR 97124-7234 |
| Mailing Address |
12450 Sw Walker Rd Beaverton OR 97005-1401 |
| Practice Telephone | 5039608828 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
2824 NE MODA WAY APT 1335 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-7234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| 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 |
|---|---|---|---|---|
| 1164979704 | Jessicalin Brodo Ribellia | Dental Assistant | 1118 Se Bacarra St., Hillsboro, OR 97123 | 2016-09-01 |
| 1205847753 | Sharon Kay Zertanna | Dental Assistant | 13662 Sw Whitmore Rd, Hillsboro, OR 97123 | 2006-08-10 |
| 1851888614 | Audrey Sachs | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2018-04-17 |
| 1255886164 | Hee Eun Kim | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-08-20 |
| 1699129874 | Mollee Kay Ione Hren | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-04-14 |
| 1306204045 | Teresa Mendoza | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2016-02-09 |
| 1720332679 | Christina Marie Dodge | Dental Assistant | 19075 Nw Tanasbourne Dr, Suite 300, Hillsboro, OR 97124-5860 | 2012-10-30 |
| 1639456718 | Tina Marie Friton Scott | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2011-11-03 |
| 1851616270 | Marci Martin | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2010-03-29 |
| 1982937306 | Lesa Sherilyn Ingraham | Dental Assistant | 19075 Nw Tanasbourne Dr Ste 300, Hillsboro, OR 97124-5802 | 2009-09-16 |
| Find all providers in HILLSBORO | ||||
Please comment or provide details below to improve the information on COREY MOELLER.
| 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.