NICHOLE TATUM (NPI# 1710337605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710337605 |
Entity Type | Individual |
Full Name | NICHOLE TATUM |
Credential | RDA |
Practice Address |
16088 Geranium Ct Moreno Valley CA 92551-7292 |
Practice Telephone | 9512299000 |
Mailing Telephone | 9512299000 |
Enumeration Date | 2016-06-21 |
Last Update Date | 2016-06-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 126800000X | Dental Assistant | 69826 | CA | Dental Providers |
Street Address |
16088 GERANIUM CT |
City | MORENO VALLEY |
State | CA |
Zip Code | 92551-7292 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730735549 | Geraldine Reed-lewis | Technician | 24805 Quenada Dr., Moreno Valley, CA 92551 | 2019-08-16 |
1003330176 | Xochitl Estrada Marroquin | Behavioral Analyst | 24458 Liolios Way, Moreno Valley, CA 92551 | 2017-07-31 |
1124407291 | Lynelle Chapman | Marriage & Family Therapist | 16339 Silverbirch Rd, Morenovalley, CA 92551 | 2015-05-22 |
1225298904 | Fy Eye Optometry Group Inc | Optometrist | 27100 Eucalyptus, Moreno Valley, CA 92551 | 2008-06-16 |
1407945306 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15025 Perris Blvd, Moreno Valley, CA 92551 | 2006-10-11 |
1033487327 | Red Maple Mtu | Public Health or Welfare | 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 | 2011-12-01 |
1780910984 | Michael Robert Thomas | Physical Therapy Assistant | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2009-10-22 |
1386190866 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 | 2016-08-25 |
1316292741 | Beautiful Skin Essentials Inc | Registered Nurse | 16420 Perris Blvd, Suite #l, Moreno Valley, CA 92551-1135 | 2012-07-23 |
1265754055 | Reza Farahanchi | Acupuncturist | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2010-02-19 |
Find all providers in zip 92551 |
Taxonomy Code | 126800000X |
Grouping | Dental Providers |
Classification | Dental Assistant |
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609476647 | Corie Zenobia Rideau | Dental Assistant | 26511 Thoroughbred Ln, Moreno Valley, CA 92555-2965 | 2020-10-28 |
1710597471 | Ciomara Marleny Canales | Dental Assistant | 25835 Basil Ct, Moreno Valley, CA 92553-5025 | 2020-08-06 |
1518593565 | Angelina F. Vasquez | Dental Assistant | 25411 Hawkwood Trl, Moreno Valley, CA 92557-7543 | 2020-03-20 |
1073143129 | Nicole Lauren Hockett | Dental Assistant | 15710 Lasselle St Apt 6p, Moreno Valley, CA 92551-1681 | 2020-01-16 |
1255813416 | Diego Jesus Guzman Garcia | Dental Assistant | 13137 Adeline Ave, Moreno Valley, CA 92553-5930 | 2018-09-04 |
1700372281 | Claudia Alvarez | Dental Assistant | 11320 Splendor Way, Moreno Valley, CA 92557-5738 | 2018-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779499 | Candelaria S Muro | Dental Assistant | 34390 Scotella Rd, Temecula, CA 92592-9352 | 2020-10-29 |
1255930921 | Darlene Marie Piltingsrud | Dental Assistant | 13128 14 Th St, Camp Pendelton, CA 92055-5221 | 2020-10-22 |
1770182529 | Virginia Santiago Williams | Dental Assistant | 21 Area Dental Clinic, Bldg 210735 C St, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
1649878968 | Rosalyn Mendoza | Dental Assistant | 18264 Ramona Ave, Fontana, CA 92336-3060 | 2020-10-09 |
1700483062 | Alyssa R Mauro | Dental Assistant | 5681 Raintree Way, Oceanside, CA 92057-4813 | 2020-10-08 |
1588261119 | Andrea Conners | Dental Assistant | 13218 Avalon Blvd Apt 219, Los Angeles, CA 90061-2363 | 2020-10-06 |
1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
1134736994 | Julie Alana Barnes | Dental Assistant | 290 Powers St, Oceanside, CA 92058-7786 | 2020-09-25 |
Find all providers with the same taxonomy |
City | MORENO VALLEY |
Zip Code | 92551 |
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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.