TARA EDEN VANDERPOOL (NPI# 1669716544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669716544 |
| Entity Type | Individual |
| Full Name | TARA EDEN VANDERPOOL |
| Credential | RDH |
| Practice Address |
15182 N 75th Ave Suite 120 Peoria AZ 85381-4722 |
| Mailing Address |
6601 S Rural Rd Tempe AZ 85283-3747 |
| Practice Telephone | 6238782400 |
| Practice Fax Number | 6238783151 |
| Mailing Telephone | 4804510821 |
| Mailing Fax Number | 4808310563 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H007396 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629431333 | Tara Vanderpool | Case Manager/Care Coordinator | 1425 E Teton Blvd Apt 4, Green River, WY 82935-5873 | 2016-03-30 |
| Street Address |
15182 N 75TH AVE SUITE 120 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135177 | David M Bates | Podiatrist | 15182 N 75th Ave, Ste 160, Peoria, AZ 85381-4722 | 2005-09-27 |
| 1104119858 | Lana Jarjis | Dental Hygienist | 15182 N 75th Ave, Suite 120, Peoria, AZ 85381-4722 | 2011-05-26 |
| 1225332026 | David M. Bates, Dpm, Pllc | Podiatrist | 15182 N 75th Ave, Suite 180, Peoria, AZ 85381-4722 | 2011-01-07 |
| 1609182419 | Gloria J Malloy | Dental Hygienist | 15182 N 75th Ave, Peoria, AZ 85381-4722 | 2010-08-31 |
| 1093973505 | M & M Medical P.C. | Family Medicine | 15182 N 75th Ave, 180, Peoria, AZ 85381-4722 | 2008-05-30 |
| 1790804441 | Meguin Chiropractic Clinic,llc | Chiropractor | 15182 N 75th Ave, Suite 160, Peoria, AZ 85381-4722 | 2007-03-27 |
| 1952428856 | Bell Medical Services PC | Chiropractor | 15182 N 75th Ave, #160, Peoria, AZ 85381-4722 | 2007-03-23 |
| 1003982059 | Ivan Michael Filner | Family Medicine | 15182 N 75th Ave, 180, Peoria, AZ 85381-4722 | 2006-11-28 |
| 1588733588 | Radostin Iliev Mladenov | Dentist | 15182 N 75th Ave, Suite 120, Peoria, AZ 85381-4722 | 2006-11-06 |
| 1669487187 | Richard Lawrence Hijazi | Chiropractor | 15182 N 75th Ave, Suite 160, Peoria, AZ 85381-4722 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| 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 |
|---|---|---|---|---|
| 1518482728 | Denise Liane Treece | Dental Hygienist | 13163 N 75th Dr, Peoria, AZ 85381-4006 | 2017-08-09 |
| 1710430483 | Kristi Wadsworth | Dental Hygienist | 10541 W Avenida Del Sol, Peoria, AZ 85383-9765 | 2016-07-29 |
| 1578834792 | Corliss Kelly Hales | Dental Hygienist | 15182 N. 75th Ave, Peoria, AZ 85381 | 2012-01-19 |
| 1699841403 | Pamela Ryan-hick | Dental Hygienist | 15182 N 75th Ave, Ste 120, Peoria, AZ 85381 | 2006-11-27 |
| 1144309097 | Pamela Keane | Dental Hygienist | 15182 N 75th Ave Ste 120, Peoria, AZ 85381-4722 | 2006-11-03 |
| 1669722823 | Breanna Rose Olson | Dental Hygienist | 15188 N 75th Ave, #280, Peoria, AZ 85381-4723 | 2012-09-14 |
| 1104119858 | Lana Jarjis | Dental Hygienist | 15182 N 75th Ave, Suite 120, Peoria, AZ 85381-4722 | 2011-05-26 |
| 1609182419 | Gloria J Malloy | Dental Hygienist | 15182 N 75th Ave, Peoria, AZ 85381-4722 | 2010-08-31 |
| 1790010742 | Traci Michelle Romero | Dental Hygienist | 8249 W Thunderbird Rd, Suite 110, Peoria, AZ 85381-4601 | 2009-10-08 |
| 1932320660 | Roberta Myers | Dental Hygienist | 8249 W Thunderbird Rd, Suite 110, Peoria, AZ 85381-4601 | 2007-05-01 |
| Find all providers in PEORIA | ||||
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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.