SAMANTHA SPARKS (NPI# 1609345677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609345677 |
Entity Type | Individual |
Full Name | SAMANTHA SPARKS |
Credential | DHAT |
Practice Address |
222 Tongass Dr Sitka AK 99835-9416 |
Practice Telephone | 9076683439 |
Mailing Telephone | 9076683439 |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125J00000X | Dental Therapist | 18-152 | AK | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407375579 | Samantha Sparks | Physical Therapy Assistant | 1100 Southfield Dr, Plainfield, IN 46168-4498 | 2017-09-11 |
1891158283 | Samantha Sparks | Pharmacist | 107 Prince St, Americus, GA 31709-3643 | 2016-04-01 |
1548582562 | Samantha Sparks | Counselor | 815 W 18th St, Merced, CA 95340-4604 | 2010-02-17 |
Street Address |
222 TONGASS DR |
City | SITKA |
State | AK |
Zip Code | 99835-9416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124018486 | Jeanette Susan Berry | Nurse Anesthetist, Certified Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2005-10-26 |
1164021523 | Grant Verhagen | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-18 |
1508464751 | Izabella Zora Powers | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
1417555665 | Kevan Abra O'hanlon | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
1992302590 | Reed Andrew Carter | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-06 |
1851901763 | Nathan Riley Kraft | Pharmacist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-08-05 |
1013532571 | Gregory David Powell | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-06-10 |
1477182434 | Jasmine Leigh Esmay | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-04-02 |
1639709868 | Kyle William Larson | Behavior Technician | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-15 |
1124668595 | Nina Mueller | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
Find all providers in zip 99835 |
Taxonomy Code | 125J00000X |
Grouping | Dental Providers |
Classification | Dental Therapist |
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083251607 | Tamija Katrice Woods | Dental Therapist | 4519 E 4th Ave, Anchorage, AK 99508-2216 | 2019-12-02 |
1538541693 | Amanda Miles | Dental Therapist | 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 | 2015-06-25 |
1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
1326654245 | Kathrine G.d.a Levi | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-09-16 |
1790320513 | Ruby Okitkun | Dental Therapist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2019-11-15 |
1336783075 | Allison Kristi Wasuli | Dental Therapist | 733 2nd Avenue, Kotzebue, AK 99752 | 2019-11-06 |
1922579143 | Janette Carmen Ulak | Dental Therapist | 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 | 2018-12-16 |
1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
1881160570 | Leandra Beech | Dental Therapist | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-10-19 |
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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.