MRS. KIM REIDENBAUGH (NPI# 1720209679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720209679 |
| Entity Type | Individual |
| Full Name | MRS. KIM REIDENBAUGH |
| Practice Address |
2 S Broad St Lititz PA 17543-1402 |
| Mailing Address |
31 Royal Dr Lititz PA 17543-8220 |
| Practice Telephone | 7176262355 |
| Mailing Telephone | 7176262355 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
2 S BROAD ST |
| City | LITITZ |
| State | PA |
| Zip Code | 17543-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321979 | David A Richards | Dentist | 2 S Broad St, Lititz, PA 17543 | 2006-08-31 |
| 1346461266 | David A. Richards D.m.d., Ltd | Dentist | 2 S Broad St, Lititz, PA 17543-1402 | 2007-05-01 |
| 1235350182 | Robin Koppenal | Dental Hygienist | 2 S Broad St, Lititz, PA 17543-1402 | 2007-05-01 |
| 1225259153 | Shirley Mann | Dental Assistant | 2 S Broad St, Lititz, PA 17543-1402 | 2007-05-01 |
| 1194946038 | Patricia Schlotzhauer | Dental Hygienist | 2 S Broad St, Lititz, PA 17543-1402 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306883 | Lauren Sue Topper | Pharmacist | 740 South Broad Street, Lititz, PA 17543 | 2018-11-27 |
| 1710478540 | Lancaster General Medical Group | Family Medicine | 51 Peters Rd Ste 101, Lititz, PA 17543 | 2018-05-29 |
| 1679062350 | Saima Sarmin Mukta | Family Medicine | Upmc Pinnacle Lititz, 1500 Highlands Dr, Lititz, PA 17543 | 2018-05-08 |
| 1073027488 | Bradford Todd Nicarry | Massage Therapist | 901 Rothsville Rd, Lititz, PA 17543 | 2017-11-21 |
| 1962929539 | Megan Sham | Occupational Therapist | 206 Starflower Vw, Lititz, PA 17543 | 2017-08-24 |
| 1124566815 | Stephanie Schultheisz | Speech-Language Pathologist | 58 E Center St, Lititz, PA 17543 | 2017-02-02 |
| 1720323975 | Gregory Robert James O'neill | Chiropractor | 766 Lititz Pike, Lititz, PA 17543 | 2012-11-29 |
| 1508132234 | J. Cornack Therapy Group LLC | Early Intervention Provider Agency | 604 Cournthouse Cir, Lititz, PA 17543 | 2012-03-27 |
| 1124338793 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1001 Buckwalter Road, Lititz, PA 17543 | 2010-10-18 |
| 1518289420 | Pamela Lynn Noden | Counselor | 2320 Rothsville Rd Ste 103a, Lititz, PA 17543 | 2010-02-18 |
| Find all providers in zip 17543 | ||||
| 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 |
|---|---|---|---|---|
| 1225259153 | Shirley Mann | Dental Assistant | 2 S Broad St, Lititz, PA 17543-1402 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093923344 | Nikol Lori Skorec | Dental Assistant | 126 Raquels Way, Clarks Summit, PA 18411-2813 | 2007-05-18 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1639566524 | Cindy Kirylik | Dental Assistant | 5000 Chichester Ave, Upper Chichester, PA 19014-2333 | 2015-04-19 |
| 1700061082 | Cheryl A Laing | Dental Assistant | 727 Old Lancaster Rd, Bryn Mawr, PA 19010-3414 | 2008-01-04 |
| 1710107503 | Marcy Jean Heath | Dental Assistant | 135 E 38th St, Erie, PA 16504-1559 | 2007-04-26 |
| 1912045253 | Debra Lynn Dauer | Dental Assistant | 100 State St, Suite B102, Erie, PA 16507-1452 | 2007-02-01 |
| 1114005519 | Linda L Menzano | Dental Assistant | 35 Stonybrook Dr, Levittown, PA 19055-2216 | 2006-11-02 |
| 1184666224 | Donna J Passino | Dental Assistant | 959 Wyoming Ave, Scranton, PA 18509-3023 | 2006-06-12 |
| 1013999465 | Centerville Clinics Inc | Dental Assistant | 208 S Arch St, Connellsville, PA 15425-3519 | 2005-11-18 |
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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.