MALISSA A BUSTAMANTE (NPI# 1659971331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659971331 |
| Entity Type | Individual |
| Full Name | MALISSA A BUSTAMANTE |
| Credential | RDH |
| Practice Address |
1101 5th St 21st Dental Clinic Kailua HI 96734 |
| Mailing Address |
1720 Ala Moana Blvd Apt F201 Honolulu HI 96815-1356 |
| Practice Telephone | 8082573365 |
| Mailing Telephone | 7576929906 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902016933 | MI | Dental Providers |
| Street Address |
1101 5TH ST 21ST DENTAL CLINIC |
| City | KAILUA |
| State | HI |
| Zip Code | 96734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183444 | Erin Cortez | Dental Hygienist | 1101 5th St, Building 6905, Kailua, HI 96734 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| 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 |
|---|---|---|---|---|
| 1679115513 | Carla Uchima-toy | Dental Hygienist | 246 Aikahi Loop, Kailua, HI 96734-1645 | 2019-10-11 |
| 1770183444 | Erin Cortez | Dental Hygienist | 1101 5th St, Building 6905, Kailua, HI 96734 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1245877968 | Marissa Powers | Dental Hygienist | 2452 Tusitala St Apt 809, Honolulu, HI 96815-3125 | 2019-12-01 |
| 1760024525 | Barbara Ann Pfuhl | Dental Hygienist | 790 Manawai St Apt 103, Kapolei, HI 96707-4567 | 2019-10-14 |
| 1972152528 | Andrea D Raskin | Dental Hygienist | Bldg 660 Mc Cornack Road, Schofield Barracks, HI 96857 | 2019-09-06 |
| 1720636509 | Britney Tumaneng | Dental Hygienist | 94-951 Hiapo St, Waipahu, HI 96797-2804 | 2019-08-26 |
| 1376190959 | Nicole Felice Bishop | Dental Hygienist | Bldg#678 Mccornack Road, Na Koa Dental Clinic, Schofield Barracks, HI 96857 | 2019-08-20 |
| 1124671870 | Laura Beth Iversen | Dental Hygienist | 91-226 Leleoi Pl, Ewa Beach, HI 96706-4642 | 2019-07-22 |
| 1932675212 | Dept. of Health-hi Developmental Disabilities H&cdsb (dental) | Dental Hygienist | 1700 Lanakila Ave Rm 203, Honolulu, HI 96817-2115 | 2018-10-15 |
| 1689048456 | Samantha Duncan | Dental Hygienist | 92-1492 Aliinui Dr # 605, Kapolei, HI 96707-4295 | 2015-11-17 |
| 1568898930 | Shannon Marie Jones | Dental Hygienist | 91-1023 Kai Kukuma St, Ewa Beach, HI 96706-6253 | 2013-09-17 |
| Find all providers with the same taxonomy | ||||
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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.