KRISTI FAIRCHILD (NPI# 1619598646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619598646 |
| Entity Type | Individual |
| Full Name | KRISTI FAIRCHILD |
| Credential | RDH |
| Practice Address |
2790 12 Mile Rd Berkley MI 48072-1630 |
| Practice Telephone | 2484390088 |
| Mailing Telephone | 2484390088 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902012956 | MI | Dental Providers |
| Street Address |
2790 12 MILE RD |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780096792 | Hygienist Recommended Inc | Dentist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2014-05-25 |
| 1447871470 | Jamie Soli | Dental Hygienist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2020-04-30 |
| 1316398902 | Pavan Kumar | Dentist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2016-06-25 |
| 1811309826 | Danielle Candice Pietraszewski | Dental Hygienist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2014-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| 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 |
|---|---|---|---|---|
| 1831648419 | Jennifer Lynn Crowley | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2016-09-24 |
| 1609234343 | Michelle Spencer | Dental Hygienist | 3894 Robina Ave, Berkley, MI 48072-1499 | 2016-02-09 |
| 1609142363 | Debra Wolfer Stowell | Dental Hygienist | 3 Karens Way, Berkley, MA 02779-1414 | 2012-03-27 |
| 1447871470 | Jamie Soli | Dental Hygienist | 2790 12 Mile Rd, Berkley, MI 48072-1630 | 2020-04-30 |
| 1417419607 | Zeinab Farhat | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2019-04-05 |
| 1326500513 | Melanie Osentoski | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2019-04-05 |
| 1932663176 | Stacie Banghart | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2019-01-22 |
| 1952899551 | Heather Rix | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2018-04-29 |
| 1891204863 | Jennifer Hurd | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2017-09-21 |
| 1346759313 | Judy Perry | Dental Hygienist | 2741 12 Mile Rd, Berkley, MI 48072-1629 | 2017-09-21 |
| Find all providers in BERKLEY | ||||
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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.