CASTELIN DECAMPS (NPI# 1568726784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568726784 |
| Entity Type | Individual |
| Full Name | CASTELIN DECAMPS |
| Practice Address |
982 E Main St Bridgeport CT 06608-1913 |
| Practice Telephone | 2036963260 |
| Practice Fax Number | 2033348104 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2033348104 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 007617 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004234788 | 05 | |
| CT | MEDICARE | C00383 | 01 |
| Street Address |
982 E MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1609475169 | Farihah Janan Ahmed | Dentist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-10-25 |
| 1093347114 | Alix Pose-sussman | Acupuncturist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-02-06 |
| 1629588678 | Kristin Obrien | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2017-10-04 |
| 1326591223 | Saif Issac | Dentist | 982 E Main St, Bridgeport, CT 08806 | 2016-07-27 |
| 1740651884 | Michael O'malley | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-10-15 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1972907012 | Optimus Healthcare | Clinic/Center | 982 E Main St, Dental Department, Bridgeport, CT 06608-1913 | 2014-10-17 |
| 1447652490 | Charles Engle | Physician Assistant | 982 E Main St, Bridgeport, CT 06608-1913 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| Find all providers in zip 06608 | ||||
| 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 |
|---|---|---|---|---|
| 1417099680 | Karen Sue Williams | Dental Hygienist | 30 Hazel Street, Bridgeport, CT 06604-5715 | 2007-02-13 |
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1235790296 | Hudson I Hector | Dental Hygienist | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-06-20 |
| 1740735026 | Michelle Lane | Dental Hygienist | 1015 Columbia, Bridgeport, WA 98813 | 2016-08-17 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1366720013 | Susan M. Miklos | Dental Hygienist | 126 Park Ave, Bridgeport, CT 06604-7620 | 2011-07-29 |
| 1629303813 | Shauna Khan | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2009-10-06 |
| 1891940656 | Amuri Barbosa | Dental Hygienist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2008-11-20 |
| 1144411000 | Lisa O'connor | Dental Hygienist | 361 Bird St, Bridgeport, CT 06605-2804 | 2007-08-06 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
Please comment or provide details below to improve the information on CASTELIN DECAMPS.
| 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.