MISS JACKIE SOON LONGMIRE (NPI# 1598003964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598003964 |
| Entity Type | Individual |
| Full Name | MISS JACKIE SOON LONGMIRE |
| Credential | RDH |
| Practice Address |
238 Front St Cashton WI 54619-2002 |
| Mailing Address |
12735 Us Highway 61 Soldiers Grove WI 54655-6000 |
| Practice Telephone | 6086545100 |
| Mailing Telephone | 6086323641 |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2013-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 11175-16 | WI | Dental Providers |
| Street Address |
238 FRONT ST |
| City | CASHTON |
| State | WI |
| Zip Code | 54619-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791067 | Mark S Heberlein | Neuromusculoskeletal Medicine & OMM | 238 Front St, Cashton, WI 54619-2002 | 2005-06-22 |
| 1144841495 | Heather Suby | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2020-04-28 |
| 1679110670 | Caroline Glover | Massage Therapist | 238 Front St, Cashton, WI 54619-2002 | 2019-12-09 |
| 1447896337 | Joanna Lovato | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2019-11-26 |
| 1225699887 | Ellen S Arndorfer | Acupuncturist | 238 Front St, Cashton, WI 54619-2002 | 2019-06-25 |
| 1457874141 | Anne Lovelace | Counselor | 238 Front St, Cashton, WI 54619-2002 | 2017-07-25 |
| 1831612746 | Katherine Grace O Connor | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2017-07-23 |
| 1386195352 | Janet Nachowicz | Counselor | 238 Front St, Cashton, WI 54619-2002 | 2016-10-14 |
| 1316344450 | Terri Mroch | Dentist | 238 Front St, Cashton, WI 54619-2002 | 2014-12-03 |
| 1407285521 | John Mears | Dentist | 238 Front St, Cashton, WI 54619-2002 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631865 | Danielle Ann Dale | Dental Hygienist | 2383 Front St, Cashton, WI 54619 | 2013-02-28 |
| 1497050348 | Martin E. Mytas D.c.,s.c. | Chiropractor | 1103 Front St., Cashton, WI 54619 | 2011-01-24 |
| 1558357020 | James R Sueppel | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2005-09-21 |
| 1417106048 | Stacey L. Markuson | Nurse Practitioner | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2008-09-18 |
| 1295833986 | David B Townsend | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashion, WI 54619 | 2006-09-20 |
| 1033126198 | Sandra A Roellich | Counselor | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2006-08-02 |
| 1417063009 | Pene Lee Enchante | Chiropractor | 901 Front St, Cashton, WI 54619-2003 | 2006-08-23 |
| 1376879346 | Cashton School District | Local Education Agency (LEA) | 540 Coe St, Cashton, WI 54619-2022 | 2009-10-27 |
| 1124480306 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-25 |
| 1154783629 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-24 |
| Find all providers in zip 54619 | ||||
| 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 |
|---|---|---|---|---|
| 1851631865 | Danielle Ann Dale | Dental Hygienist | 2383 Front St, Cashton, WI 54619 | 2013-02-28 |
| 1144841495 | Heather Suby | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2020-04-28 |
| 1447896337 | Joanna Lovato | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2019-11-26 |
| 1831612746 | Katherine Grace O Connor | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2017-07-23 |
| 1184963605 | Melissa Ann Deyo | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2013-02-04 |
| 1851639272 | Tracy C Kayser | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2013-01-18 |
| 1093063851 | Tracy L O'gara-weibel | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2012-08-27 |
| 1700134798 | Lisa Lichtie | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2012-08-22 |
| 1508121104 | Candace J Hendersin | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2012-07-10 |
| 1063787125 | Candace Melonie Demoran | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2012-03-21 |
| Find all providers in CASHTON | ||||
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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.