MARIAH O'CONNELL (NPI# 1619475159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619475159 |
| Entity Type | Individual |
| Full Name | MARIAH O'CONNELL |
| Credential | RDH |
| Practice Address |
203 S Rollie Ave Fort Lupton CO 80621-1508 |
| Mailing Address |
1530 Wildflower Ct Brighton CO 80601-6794 |
| Practice Telephone | 3038926401 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1530 Wildflower Ct, Brighton, CO 806016794 | 7204353355 |
| Street Address |
203 S ROLLIE AVE |
| City | FORT LUPTON |
| State | CO |
| Zip Code | 80621-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530388 | Plan De Salud Del Valle Inc | Clinic/Center | 203 S Rollie Ave, Fort Lupton, CO 80621-1508 | 2005-07-05 |
| 1689082810 | Aaron Paul Van Wyk | Dentist | 203 S Rollie Ave, Fort Lupton, CO 80621-1508 | 2014-07-31 |
| 1902214711 | Andrea Vigil | Nurse Practitioner | 203 S Rollie Ave, Fort Lupton, CO 80621-1508 | 2014-07-24 |
| 1902071202 | Michael William Noonan | Family Medicine | 203 S Rollie Ave, Fort Lupton, CO 80621-1508 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659741247 | Workwellness Inc | Clinic/Center | 1450 Dexter Ave, Fort Lupton, CO 80621 | 2015-09-25 |
| 1386902294 | Kathryn M. Bowker | Counselor | 260 College Ave, Fort Lupton, CO 80621 | 2012-04-27 |
| 1225241946 | Theresa S Doi | Physical Therapist | 721 4th Street, Suite B, Fort Lupton, CO 80621 | 2007-05-08 |
| 1003946450 | Terry W Williams Dc PC | Chiropractor | 331 Park Avenue, Fort Lupton, CO 80621 | 2007-03-06 |
| 1548326200 | Glenda P Walden | Counselor | 120 1st Street, Ft. Lupton, CO 80621 | 2006-12-28 |
| 1447329099 | Caring Hands Pharmacy Inc | Pharmacy | 105 Dales Place, Fort Lupton, CO 80621 | 2006-11-07 |
| 1942382023 | Ft Lupton Medical Team PC | Family Medicine | 308 Denver Ave, Fort Lupton, CO 80621 | 2006-10-19 |
| 1841393253 | Irene Margaret Holloman | Dentist | 229 Denver Ave, Fort Lupton, CO 80621 | 2006-09-07 |
| 1346575586 | North Range Behavioral Health | Clinic/Center | 145 1st St, Fort Lupton, CO 80621 | 2009-10-06 |
| 1366620775 | Terry Wade Williams | Chiropractor | 331 Park Ave, Fort Lupton, CO 80621 | 2008-02-07 |
| Find all providers in zip 80621 | ||||
| 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 |
|---|---|---|---|---|
| 1154548519 | Susan A Hanson | Dental Hygienist | 1115 2nd St, Fort Lupton, CO 80621-1745 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT LUPTON |
| Zip Code | 80621 |
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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.