KITRINA ROXANNE MALLON (NPI# 1699818096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699818096 |
Entity Type | Individual |
Full Name | KITRINA ROXANNE MALLON |
Credential | DENTAL HYGIENIST |
Practice Address |
2415 Massachusetts St Lawrence KS 66046-4827 |
Mailing Address |
414 2nd St Baldwin City KS 66006-5074 |
Practice Telephone | 7858324803 |
Mailing Telephone | 7855942488 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 2588 | KS | Dental Providers |
Street Address |
2415 MASSACHUSETTS ST |
City | LAWRENCE |
State | KS |
Zip Code | 66046-4827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003801846 | Margaret Ann Daly | Nurse Practitioner | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2005-09-19 |
1154942605 | Angela Meyer | Dietitian, Registered | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2020-05-06 |
1285098863 | Rachel Hanna Harrington | Registered Nurse | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2016-04-08 |
1124480553 | Clinton Gary Merkel | Pharmacist | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2016-03-24 |
1144606005 | David Joseph Mettman | Dentist | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2015-08-03 |
1942607395 | Joseph Randall Rorabaugh-irwin | Dietitian, Registered | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2014-12-01 |
1255751632 | Andrew Benjamin Slikker | Family Medicine | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2014-04-23 |
1366866972 | Julie Ann Niewoehner | Pharmacist | 2415 Massachusetts St, Lawrence, KS 66046 | 2014-02-18 |
1457784936 | Hannah Emily Britt | Registered Nurse | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2013-08-19 |
1225370976 | Rachel R Inloes | Dietitian, Registered | 2415 Massachusetts St, Lawrence, KS 66046-4827 | 2013-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770913659 | Jennifer Lea Reed | Counselor | 2107 Maple Ln., Lawrence, KS 66046 | 2013-11-14 |
1578995668 | Erin Lyn Ward | Social Worker | 2141 Maple Ln, Lawrence, KS 66046 | 2013-07-31 |
1043588197 | Bridget Ellen Gillespie | Pharmacist | 400 W 23rd Street, Lawrence, KS 66046 | 2011-12-05 |
1992018600 | Michael John Atteberry | Optometrist | 3201 S Iowa, Lawrence, KS 66046 | 2010-07-22 |
1275749491 | Independence Inc | Voluntary or Charitable | 2001 Haskell Avenue, Lawrence, KS 66046 | 2007-05-15 |
1679787352 | Independence Inc. Pass Program | Home Health | 2001 Haskell Ave, Lawrence, KS 66046 | 2007-05-10 |
1972724532 | Dana L White | Occupational Therapist | 325 Maine, Lawrence, KS 66046 | 2007-05-01 |
1265575203 | David Emroy Cornelius | Registered Nurse | 2415 Massachesetts, Lawrence, KS 66046 | 2007-02-15 |
1750489753 | Monte J Clumsky | Dentist | 2706 Iowa, Suite A, Lawrence, KS 66046 | 2006-09-21 |
1508971052 | Brent Robert Jones | Dentist | 2348 Iowa Street, Lawrence, KS 66046 | 2006-08-21 |
Find all providers in zip 66046 |
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 |
---|---|---|---|---|
1669958336 | Sara Glotzbach | Dental Hygienist | 4000 Overland Dr, Lawrence, KS 66049-4120 | 2018-07-16 |
1104214816 | Quail Crest Imaging, LLC | Dental Hygienist | 4830 Quail Crest Pl Ste B, Lawrence, KS 66049-3842 | 2015-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505227 | Kandice Sublette | Dental Hygienist | 1314 Sutter Woods Rd, Junction City, KS 66441-2581 | 2020-07-10 |
1093369407 | Kaylee Nicole Sexton | Dental Hygienist | 2051 N State St # Sr, Iola, KS 66749-1677 | 2019-07-25 |
1932614328 | Danielle Lee Hermann | Dental Hygienist | 5437 Wild Horse Rd, Mc Louth, KS 66054-4222 | 2017-12-06 |
1831604677 | Lindsay Brianna Lee | Dental Hygienist | 18409 Juniper Ter, Gardner, KS 66030-9149 | 2017-12-01 |
1891128385 | Christen C Lacey | Dental Hygienist | 5222 Trego Rd, Atchison, KS 66002-5108 | 2013-08-20 |
1720425283 | Meghan Leigh Hoshaw | Dental Hygienist | 831 Joanie Ln, Salina, KS 67401-9659 | 2013-05-23 |
1962745794 | Luz Del Carmen Estrada | Dental Hygienist | 2300 N 14th Ave Ste 202, Dodge City, KS 67801-2367 | 2013-03-29 |
1962736884 | Kristina Lynn Lobb | Dental Hygienist | 706 River St, Tonganoxie, KS 66086-9586 | 2009-09-24 |
1689832305 | Erica Nicole Voshell | Dental Hygienist | 1310 Michigan St, Apt D, Wellington, KS 67152-4639 | 2008-05-29 |
1780857599 | Patricia L Seery | Dental Hygienist | 14430 Spring Valley Cir, Wichita, KS 67230-9588 | 2008-04-12 |
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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.