MRS. SANDRA JEAN GANSHAW (NPI# 1578822607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578822607 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA JEAN GANSHAW |
| Credential | RDH |
| Practice Address |
400 San Felipe St Nw Albuquerque NM 87104-1370 |
| Mailing Address |
8408 Rancho Vecino Ct Nw Albuquerque NM 87120-5812 |
| Practice Telephone | 5054807200 |
| Mailing Telephone | 5054807200 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | NDO0007 | NM | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | DH 3281 | NM | Dental Providers |
| Street Address |
400 SAN FELIPE ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87104-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839639 | Alicia Lovato | Pharmacist | 1731 Towner Ave Nw, Albuquerque, NM 87104 | 2017-09-05 |
| 1649650797 | Anna Marie L Dinallo | Counselor | 1602 Escalante Ave, Albuquerque L, NM 87104 | 2015-06-04 |
| 1487057246 | Larry Steve Archuleta Sr. Sr. | Counselor | 1611 Central Nw, Alb., NM 87104 | 2014-10-07 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1275974792 | Mary R. Gomez | Counselor | 1611 Central Ave. Nw, Albuq, NM 87104 | 2013-07-12 |
| 1861727992 | Corrianne H Broner | Counselor | 1208 Claire Court Nw, Albuquerque, NM 87104 | 2009-10-07 |
| 1578711545 | Raymond Louis Zoumar | Anesthesiology | 2312 Campbell Rd Nw, Albuquerque, NM 87104 | 2008-09-03 |
| 1972785756 | Rochelle Young | Counselor | 1316- A Granite Ave. Nw, Albuquerque, NM 87104 | 2007-12-03 |
| 1023134699 | Elizabeth Anne Ferrell | Dental Hygienist | 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 | 2007-03-22 |
| 1366566705 | Abq Home Health Care Inc. | Home Health | 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 | 2007-03-19 |
| Find all providers in zip 87104 | ||||
| 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 |
|---|---|---|---|---|
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1700393733 | Utopia Dental Care,llc | Dental Hygienist | 1100 Lomas Blvd Nw Ste 1a, Albuquerque, NM 87102-1878 | 2017-12-28 |
| 1992229751 | Natasha Lynn Trujillo | Dental Hygienist | 1201 Stutz Dr Ne, Albuquerque, NM 87112-6232 | 2017-08-02 |
| 1548710437 | Sheila Hudson | Dental Hygienist | 10700 Academy Rd Ne, Apt # 921, Albuquerque, NM 87111-7378 | 2016-10-04 |
| 1790136745 | Jessica Gonzales | Dental Hygienist | 4800 Cutler Ave Ne, Albuquerque, NM 87110-4033 | 2016-06-30 |
| 1801259759 | Yvette Granados | Dental Hygienist | 3520 Montgomery Blvd Ne, Albuquerque, NM 87107-4846 | 2016-03-29 |
| 1811364136 | Johanna Mccoy | Dental Hygienist | 4400 Cutler Avenue Nw, Albuquerque, NM 87110 | 2015-08-24 |
| 1982087045 | Lisa Mercer | Dental Hygienist | 1500 Villa Del Valle Ne, Albuquerque, NM 87113-1096 | 2015-07-07 |
| 1699152017 | Lyumila Shapiro | Dental Hygienist | 920 Seattle Slew Ave Se, Albuquerque, NM 87123-2326 | 2015-05-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87104 |
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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.