DOROTHY J. CANTU (NPI# 1578629184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578629184 |
| Entity Type | Individual |
| Full Name | DOROTHY J. CANTU |
| Credential | RDA |
| Practice Address |
228 Saint George St Gonzales TX 78629-3910 |
| Practice Telephone | 8308756603 |
| Mailing Telephone | 8308756603 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 2449 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DENTAL ASSISTANT REGISTRA | 2449 | 01 |
| Street Address |
228 SAINT GEORGE ST |
| City | GONZALES |
| State | TX |
| Zip Code | 78629-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626871 | Roland A Medellin | Family Medicine | 228 Saint George St, Gonzales, TX 78629-3910 | 2005-08-11 |
| 1235785205 | Ogechi Anthonia Obiakor | Dentist | 228 Saint George St, Gonzales, TX 78629-3910 | 2019-08-14 |
| 1356891410 | Haley Lynn Pirkle | Counselor | 228 Saint George St, Gonzales, TX 78629-3910 | 2016-10-12 |
| 1902211923 | Chelsea Allison Padgett | Dentist | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-06-28 |
| 1558789966 | Jill Ashley Elliott | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-04-02 |
| 1770924961 | Gabriel Gallardo | Counselor | 228 Saint George St, Gonzales, TX 78629-3910 | 2013-07-16 |
| 1407197114 | Kelly Gibson | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2013-03-05 |
| 1164776548 | Katherine D Paterson | Nurse Practitioner | 228 Saint George St, Gonzales, TX 78629-3910 | 2012-11-06 |
| 1740579853 | Courtney Lauren Panus | Licensed Vocational Nurse | 228 Saint George St, Gonzales, TX 78629-3910 | 2011-03-30 |
| 1457679821 | Rebecca Vela | Social Worker | 228 Saint George St, Gonzales, TX 78629-3910 | 2010-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032072 | Bruce Franklin Blackwell | Pharmacist | 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 | 2020-10-30 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 1831663400 | Caitlin Walker | Clinic/Center | 1300 Captain Albert Martin Trail, Gonzales, TX 78629 | 2019-01-17 |
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1104348762 | Jeremiah Berryhill | Specialist/Technologist | 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 | 2017-07-14 |
| 1073912861 | Gonzales County Senior Citizens Association, Inc | Home Delivered Meals | 818 Seydler Street, Gonzales, TX 78629 | 2014-08-18 |
| 1932544517 | Familylink Treatment Services | Counselor | 13326 Highway North 183, Gonzales, TX 78629 | 2013-05-08 |
| 1598035651 | H-e-b, Lp | Clinical Medical Laboratory | 1841 Church St., Gonzales, TX 78629 | 2012-01-06 |
| 1942441159 | Rebecca P. Bohach | Licensed Vocational Nurse | 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 | 2009-03-18 |
| 1376763631 | Gonzales Isd | Local Education Agency (LEA) | 535 Fair St., Gonzales, TX 78629 | 2007-04-27 |
| Find all providers in zip 78629 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083931380 | Marquish Mckinnon | Dental Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2010-04-26 |
| 1568789857 | Brooke Nicole Krueger | Dental Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2010-04-26 |
| 1518168970 | Kelly B Huerra | Dental Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2007-05-31 |
| 1366508962 | Debra L. Morris | Dental Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275090961 | Shelby Morgan Tullos | Dental Assistant | 821 Fm 1970 N, Timpson, TX 75975 | 2019-02-28 |
| 1215494901 | Shelby Lauren Bryan | Dental Assistant | 529 Marshall Ivy Rd, Huntington, TX 75949 | 2019-02-28 |
| 1780163253 | Dimitri House-gaston | Dental Assistant | 5005 N.piedras, El Paso, TX 79920-5001 | 2018-08-07 |
| 1083111959 | Jessica Michelle Holmes | Dental Assistant | 4980 Sean Haggerty Dr Apt 373, El Paso, TX 79934-3342 | 2018-04-09 |
| 1942706924 | Joaimy Estefani Nash | Dental Assistant | 2404 Mikulec Dr, Killeen, TX 76542-4661 | 2018-03-30 |
| 1497250831 | Jessica Nicole King | Dental Assistant | 1609 Excel Dr, Killeen, TX 76542-6315 | 2018-03-28 |
| 1376053090 | Sarah Thrutchley | Dental Assistant | 11201 Lynbrook Dr Apt 2802, Houston, TX 77042-1358 | 2017-10-08 |
| 1205385523 | Jose Escobar | Dental Assistant | 31315 Fm 2920 Rd Ste 16a, Waller, TX 77484-8022 | 2016-09-28 |
| 1275089807 | Jaqueline Mendoza | Dental Assistant | 11334 Ssg Sims, Ft. Bliss, TX 79908 | 2016-09-01 |
| 1750838207 | Iliana Duran | Dental Assistant | 11334 Ssg Sims Rd, Ft. Bliss, TX 79908 | 2016-09-01 |
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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.