STACEY D MOORE (NPI# 1457837452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457837452 |
Entity Type | Individual |
Full Name | STACEY D MOORE |
Credential | RDH |
Practice Address |
6850 Upper Box Elder Rd Box Elder MT 59521-9073 |
Practice Telephone | 4063954486 |
Mailing Telephone | 4063954486 |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DEN-RDH-LIC-7906 | MT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558872341 | Stacey Brigham Moore | Day Training, Developmentally Disabled Services | 4321 Nw State Road 270, Bristol, FL 32321-2303 | 2017-10-19 |
1184153553 | Stacey Hurst Moore | Counselor | 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 | 2017-06-08 |
1386075331 | Stacey Moore | Dietitian, Registered | 5124 Roemer Lane, Sacramento, CA 95820-3033 | 2013-12-02 |
1942310404 | Stacey Moore | Pharmacist | 2418 Sylvester Rd, Albany, GA 31705-2468 | 2006-08-30 |
1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
1184079873 | Stacey Marie Moore | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2016-04-29 |
1174913297 | Stacey Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2015-01-27 |
1982887493 | Stacey Denise Moore | Surgery | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2007-12-07 |
1225210206 | Stacey L Moore | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2007-11-30 |
1275684268 | Stacey J Moore | Registered Nurse | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2007-01-16 |
Street Address |
6850 UPPER BOX ELDER RD |
City | BOX ELDER |
State | MT |
Zip Code | 59521-9073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598802332 | Rocky Boy Health Center | Clinic/Center | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2007-01-31 |
1023617958 | Kayla Rae Sanders | Registered Nurse | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-10-21 |
1821608886 | Elizabeth Rae Lodge Pole | Registered Nurse | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-08-05 |
1801405592 | Lisa Gay Florea | Registered Nurse | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-07-28 |
1770102279 | Elizabeth E Barnes | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-04-14 |
1821617325 | Dawnie Day Deberry | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-04-14 |
1922648922 | Karen Lynn Garland | Pharmacist | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-01-08 |
1780234765 | David Jospeh Cease | Technician, Pathology | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2019-09-12 |
1215585294 | Kathleen Audrey Parsons | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-09-03 |
1962054957 | Chettha Paul Techo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043864218 | Gary Palladino | Pharmacist | 5050 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-26 |
1821585209 | Lisa Marie Scheresky O'neil | Registered Nurse | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-04-20 |
1437592789 | Nat's Medical Supply | Assisted Living Facility | #74 Chestnut Street, Box Elder, MT 59521 | 2013-04-16 |
1194219253 | Hilary Rose Warren | Dentist | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-06-21 |
1245441120 | Rocky Boy Health Board Clinic | Clinic/Center | Rr 1, Box Elder, MT 59521 | 2007-05-24 |
1356552160 | Mary Jane Deberry | Counselor | Rural Route 1 Box 664, Box Elder, MT 59521-0000 | 2007-05-24 |
1215147871 | Darel Arvin Nelson | Dentist | Chippewa-cree Health Center Agency Street, Dental Clinic Division, Box Elder, MT 59521-0000 | 2007-05-23 |
1487086435 | Box Elder Public Schools | Local Education Agency (LEA) | 205 Main St, Box Elder, MT 59521-0205 | 2013-08-01 |
1386639870 | Krissa Kirby | Psychologist | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2005-09-12 |
1982057980 | Stacy Tan | Licensed Vocational Nurse | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2016-07-14 |
Find all providers in zip 59521 |
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 |
---|---|---|---|---|
1265915656 | Pamela Dianne Emard | Dental Hygienist | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2018-09-11 |
1497010060 | Amy Lois Brown | Dental Hygienist | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2012-07-10 |
1154628956 | Kelly Ann Lawson | Dental Hygienist | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2011-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538790142 | Melissa Ellen Kjos-peterson | Dental Hygienist | 206 Garland St, Kalispell, MT 59901-2509 | 2020-02-01 |
1114557501 | Clancy Ann Casey | Dental Hygienist | 3774 Joelle Dr, Helena, MT 59602-6102 | 2020-01-24 |
1598395733 | Carissa Lee-cossel Allen | Dental Hygienist | 465 Taylor Dr, Dillon, MT 59725-7104 | 2020-01-16 |
1487299855 | Into The Groove | Dental Hygienist | 4925 Foothill Rd, Butte, MT 59701-7047 | 2019-11-08 |
1710538228 | Eric Thomas Hill | Dental Hygienist | 203 Business Center Loop, Kalispell, MT 59901-6885 | 2019-09-25 |
1912557653 | Summor Kilgore | Dental Hygienist | 1099 Cowboy Way, Columbia Falls, MT 59912-9068 | 2019-09-15 |
1689228090 | Christel Ann Riitano | Dental Hygienist | 702 Harrison Ave, Helena, MT 59601-2615 | 2019-07-25 |
1164984399 | Nan'cee Neer-labbe | Dental Hygienist | 14555 Hellgate Lane, Clinton, MT 59825 | 2019-04-05 |
1881153286 | Jill Ranae Ferdina | Dental Hygienist | 415 4th Ave S, Wolf Point, MT 59201-1639 | 2019-03-15 |
1861958183 | Chanel Plasek | Dental Hygienist | 400 4th Ave W, Poplar, MT 59255-9455 | 2019-02-12 |
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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.