CORI ANNA BAQUERO-CRUZ (NPI# 1568761278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568761278 |
| Entity Type | Individual |
| Full Name | CORI ANNA BAQUERO-CRUZ |
| Credential | DH |
| Practice Address |
4920 South 30th Street Suite 103 Omaha NE 68107-1656 |
| Practice Telephone | 4027344110 |
| Practice Fax Number | 4029915642 |
| Mailing Telephone | 4027344110 |
| Mailing Fax Number | 4029915642 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 828 | NE | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 1930 | NE | Dental Providers |
| Street Address |
4920 SOUTH 30TH STREET SUITE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321573 | Stella G Washington | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2006-08-31 |
| 1912451063 | Nancy Herrera | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-08-06 |
| 1689127409 | Adina Schuller Slomianski | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-07-28 |
| 1861877037 | Jennifer A Dornbush | Nurse Practitioner | 4920 South 30th Street, Suite 103, Omaha, NE 68107 | 2015-07-29 |
| 1861875726 | Robert Grode | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2015-07-09 |
| 1841608833 | Jane Elizabeth Teeter | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2014-07-23 |
| 1801237623 | Kari Michelle Olbrey | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-07-09 |
| 1861730343 | Nivedita Sharma | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-01-17 |
| 1891094975 | Marie D. Desmoineaux | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-15 |
| 1043515901 | Gloria E. Gonzalez-kruger | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| 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 |
|---|---|---|---|---|
| 1932714052 | Cherrell T Rogers | Dental Hygienist | 4229 N 90th St Ste 103, Omaha, NE 68134-4136 | 2020-09-15 |
| 1033681689 | Kara Lilienthal | Dental Hygienist | 6110 S 191st St, Omaha, NE 68135-4272 | 2018-12-20 |
| 1013403237 | Jason James Brisbin | Dental Hygienist | 13256 Emiline St, Omaha, NE 68138-6108 | 2018-07-11 |
| 1538527015 | Janet Clemens | Dental Hygienist | 801 N 96th St, Omaha, NE 68114-2504 | 2016-01-29 |
| 1255711677 | Ann Burbach | Dental Hygienist | 10730 Pacific St Ste 105, Omaha, NE 68114-4700 | 2015-06-01 |
| 1699173419 | Tama Trewet | Dental Hygienist | 985163 Nebraska Medical Ctr, Omaha, NE 68198-5163 | 2014-12-10 |
| 1598185878 | Marjean Marie Stamm | Dental Hygienist | 656 N 164th St, Omaha, NE 68118-2504 | 2014-04-24 |
| 1669725545 | Kerri Dittrich | Dental Hygienist | 16136 Cherrywood St, Omaha, NE 68136-1321 | 2012-10-17 |
| 1780996231 | Deneen Ann Glass | Dental Hygienist | 5318 N 97th Ave, Omaha, NE 68134-1614 | 2010-07-12 |
| 1356667018 | Kelli Lynne Kavan | Dental Hygienist | 6444 N 149th St, Omaha, NE 68116-4587 | 2010-04-20 |
| Find all providers in OMAHA | ||||
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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.