ZACHARY MICHAEL MANGARIN (NPI# 1700498607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700498607 |
| Entity Type | Individual |
| Full Name | ZACHARY MICHAEL MANGARIN |
| Credential | RDH |
| Practice Address |
1112 S Cushman Ave Tacoma WA 98405-3631 |
| Mailing Address |
503 6th Ave Apt C102 Kirkland WA 98033-5685 |
| Practice Telephone | 2535932144 |
| Mailing Telephone | 5623715032 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 61005381 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EMPLOYEE OF SEA MAR | NONE | 01 |
| Street Address |
1112 S CUSHMAN AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410926 | Janitzia Schurch Diaz | Internal Medicine | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2005-07-13 |
| 1437759115 | Isis Judith Lozano Vazquez | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2020-10-30 |
| 1679118913 | Joselyne Arriola Rangel | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-11-11 |
| 1710535976 | Isaura Torres | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-08-30 |
| 1780242610 | Veronika Magali Tapia Giron | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-06-05 |
| 1992273783 | Heather M Rotter | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-11-09 |
| 1588147524 | Sea - Mar Community Health Center | Counselor | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-09-14 |
| 1861989071 | Monica Varela Rodriguez | Dentist | 1112 S Cushman Ave, Tacoma, WA 98405 | 2018-04-13 |
| 1679071245 | Nicole Gioiosa | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-01-29 |
| 1336524503 | Diana Chia | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2015-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1477022069 | Deborah Anne Logan | Dental Hygienist | North Division Street Bldg 2103, Tacoma, WA 98431-0001 | 2018-11-13 |
| 1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
| 1801301528 | Shannon Lee Bowerman | Dental Hygienist | 4901 Fairwood Blvd Ne Apt 75, Tacoma, WA 98422-2121 | 2017-12-04 |
| 1447760442 | Kimberly Merle Todd | Dental Hygienist | S 14th Street and Railroad Avenue, Building # 3740p, Tacoma, WA 98433 | 2017-10-04 |
| 1558889931 | Katherine Joanne Tarabochia | Dental Hygienist | North Divisionst Bldg 210-3p, Tacoma, WA 98431-0001 | 2017-09-06 |
| 1003332677 | Lindsey Wisdom | Dental Hygienist | Bldg 9119 Mil Park Ave, Tacoma, WA 98433 | 2017-08-16 |
| 1467977215 | Anthony Booker | Dental Hygienist | 6137 S Cushman Ave, Tacoma, WA 98408-2352 | 2017-08-12 |
| 1518319417 | Rosemary E Garvey | Dental Hygienist | N Division St Bldg 2103, Tacoma, WA 98431-1100 | 2016-07-05 |
| 1356791057 | Shannon Mullins | Dental Hygienist | Jblm, Building 9119 Mil Park Ave., Tacoma, WA 98431-0001 | 2016-06-14 |
| 1639529340 | Shannon Walker | Dental Hygienist | Mil Park Ave Bldg 9119, Tacoma, WA 98431-0001 | 2016-06-14 |
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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.