JAKE RODDIE MALONE (NPI# 1649823006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649823006 |
| Entity Type | Individual |
| Full Name | JAKE RODDIE MALONE |
| Credential | DDS |
| Practice Address |
4215 85th St Lubbock TX 79423-1931 |
| Practice Telephone | 8067941131 |
| Mailing Telephone | 4324130314 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 35354 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12175 Nacogdoches Rd, San Antonio, TX 782172334 | 2106815555 |
| Street Address |
4215 85TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748208 | Kelly Sue Robinson | Dentist | 4215 85th St, Lubbock, TX 79423-1931 | 2005-05-24 |
| 1699022988 | Susan Delaine Peters | Dental Hygienist | 4215 85th St, Lubbock, TX 79423-1931 | 2012-08-06 |
| 1174526073 | John David Hamblen | Dentist | 4215 85th St, Lubbock, TX 79423-1931 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152207 | Robert Michael Mccauley IIi | Dentist | 4425 98th St Ste 100, Lubbock, TX 79424-5037 | 2020-07-27 |
| 1346809670 | Abbeville Special Needs Dentistry Pllc | Dentist | 2420 Quaker Ave Ste 101, Lubbock, TX 79410-1817 | 2019-06-11 |
| 1609249044 | John Vinings, Dds, P.a. | Dentist | 2811 S Loop 289 Ste 12, Lubbock, TX 79423-1443 | 2015-11-06 |
| 1962879973 | Emeka Arinze Ezeokeke | Dentist | 4819 Avenue Q, Lubbock, TX 79412-2209 | 2015-08-25 |
| 1497138622 | Saly Badri | Dentist | 5607 Slide Rd Ste 200, Lubbock, TX 79414-4104 | 2015-07-07 |
| 1780931444 | Joseph Dylan Everett | Dentist | 6123 79th St Ste 100, Lubbock, TX 79424-8708 | 2012-08-12 |
| 1902123409 | Michael Walker | Dentist | 5807 92nd St, Lubbock, TX 79424-3630 | 2010-04-23 |
| 1154590321 | Charles Thomas Maupin | Dentist | 3233 63rd St, Suite A, Lubbock, TX 79413-5742 | 2008-02-21 |
| 1952434763 | Robert Andrew Welch | Dentist | 4903 82nd St, Suite 60, Lubbock, TX 79424 | 2007-03-13 |
| 1164573606 | Ronald Allan Hawkins | Dentist | 5255 79th St, Lubbock, TX 79424-2852 | 2007-01-12 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on JAKE RODDIE MALONE.
| 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.