MR. DERRICK TRIGENZA SMITH (NPI# 1457564841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457564841 |
| Entity Type | Individual |
| Full Name | MR. DERRICK TRIGENZA SMITH |
| Credential | B.S.D.H. |
| Practice Address |
23569 Sunnymead Ranch Parkway Moreno Valley CA 92557 |
| Mailing Address |
11383 Boone Way Loma Linda CA 92354 |
| Practice Telephone | 9512428282 |
| Mailing Telephone | 9097969676 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 19816 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767173 | Derrick Wade Smith | Technician | 8670 Silver Shores Dr, Reno, NV 89506-2153 | 2019-02-24 |
| 1003366840 | Derrick Smith | Contractor | 100 Medley Dr, Leesburg, GA 31763-3272 | 2016-10-05 |
| 1801295654 | Derrick Smith | Physical Therapy Assistant | 6410 Seminole Dr, West Chester, OH 45069-1329 | 2014-08-18 |
| 1023443892 | Derrick Smith | Counselor | 1866 Green River St, Las Vegas, NV 89142-1273 | 2013-09-11 |
| 1780679894 | Derrick L. Smith | Family Medicine | 1861 W Redlands Blvd, Building 7b, Redlands, CA 92373-3119 | 2005-09-14 |
| 1457960098 | Derrick Garner Smith | Speech-Language Pathologist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2020-07-29 |
| 1538791710 | Derrick Smith | Behavior Technician | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2020-02-06 |
| 1205346582 | Derrick Smith | Counselor | 403 Commerce St, Ripley, TN 38063-2060 | 2017-10-02 |
| 1740734029 | Derrick Brice Smith | Physical Therapist | 276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 | 2016-08-04 |
| 1922488154 | Derrick Smith Jr. | Nurse Anesthetist, Certified Registered | 100 2nd Ave, Apt 2a, New York, NY 10003-8307 | 2015-06-03 |
| Street Address |
23569 SUNNYMEAD RANCH PARKWAY |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1447374020 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | Maggie Marsh, 10467 Morning Ridge Dr., Moreno Valley, CA 92557 | 2007-03-19 |
| Find all providers in zip 92557 | ||||
| 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 |
|---|---|---|---|---|
| 1497182315 | Doria Elena Roman | Dental Hygienist | 13040 Essen Ln, Moreno Valley, CA 92555-6757 | 2013-10-09 |
| 1104264399 | Nancy Lopez | Dental Hygienist | 16164 Ebony Ave, Moreno Valley, CA 92551-9228 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.