MRS. JUDY ANN MANN (NPI# 1467661249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467661249 |
Entity Type | Individual |
Full Name | MRS. JUDY ANN MANN |
Credential | RDHAP |
Practice Address |
3074 Burgan Ave Clovis CA 93611-5231 |
Practice Telephone | 5592922762 |
Practice Fax Number | 5592922762 |
Mailing Telephone | 5592922762 |
Mailing Fax Number | 5592922762 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 124Q00000X | Dental Hygienist | 17916 | CA | Dental Providers |
Y | 124Q00000X | Dental Hygienist | #59 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DENTI- CAL | H-0005901 | 01 |
CA | RDH LICENSE | 17916 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124195052 | Judy M. Mann | Family Medicine | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-11-29 |
Street Address |
3074 BURGAN AVE |
City | CLOVIS |
State | CA |
Zip Code | 93611-5231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
Find all providers in zip 93611 |
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 |
---|---|---|---|---|
1841839099 | Naomi Lynn Amador | Dental Hygienist | 105 Golf Dr, Clovis, NM 88101-3145 | 2020-01-04 |
1538592183 | Julie M Yetko | Dental Hygienist | 26688 Towerline Ln, Clovis, CA 93619-9741 | 2013-08-19 |
1801229562 | Dena Gideon-hensley | Dental Hygienist | 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 | 2013-08-16 |
1730483710 | Judith Renee Brown | Dental Hygienist | 923 La Jolla Ave, Clovis, CA 93619-8951 | 2011-01-05 |
1578124616 | Melissa Massetti | Dental Hygienist | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2019-06-27 |
1184198061 | Anmoljit Kaur Sandhu | Dental Hygienist | 1010 Shaw Ave Ste B, Clovis, CA 93612-3950 | 2019-01-14 |
1083155840 | Nicole Susan Spooner | Dental Hygienist | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2017-03-13 |
1518408376 | Arvinderpal Kaur Sidhu | Dental Hygienist | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2017-03-13 |
1023420924 | Aimee Victoria | Dental Hygienist | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2014-05-27 |
1306277264 | Denali Knudson | Dental Hygienist | 1330 Shaw Ave Ste 103, Clovis, CA 93612-3985 | 2013-12-03 |
Find all providers in CLOVIS |
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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.