COURTNEY ANN DIERKES (NPI# 1720685027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720685027 |
| Entity Type | Individual |
| Full Name | COURTNEY ANN DIERKES |
| Credential | RDH |
| Practice Address |
530 S Maiden Ln Joplin MO 64801-3084 |
| Mailing Address |
1213b Montana Pl Joplin MO 64804-2342 |
| Practice Telephone | 4177826200 |
| Mailing Telephone | 3148997823 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2018043179 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASPEN STM | AMS202200 | 01 |
| Street Address |
530 S MAIDEN LN |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151733 | Ozark Tri County Health Care Consortium | Clinic/Center | 530 S Maiden Ln, Joplin, MO 64801 | 2005-08-16 |
| 1144835745 | Elizabeth A Standridge | Nurse Practitioner | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2020-09-10 |
| 1427662840 | Shelby Anne Landes | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2020-09-02 |
| 1154831634 | Carl C Perkins | Social Worker | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2017-10-10 |
| 1114457058 | Cristina Hernandez | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2017-06-13 |
| 1427587567 | Jay Michael Brown | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2017-06-11 |
| 1720532344 | Sung Seong Park | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2016-08-11 |
| 1336504919 | Kayla Brightman | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2015-12-23 |
| 1982079109 | Ozark Tri County Health Care Consortium | Pharmacy | 530 S Maiden Ln, Joplin, MO 64801 | 2015-12-14 |
| 1174945067 | Janeice Hukill | Nurse Practitioner | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2014-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| 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 |
|---|---|---|---|---|
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1427662840 | Shelby Anne Landes | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2020-09-02 |
| 1336504919 | Kayla Brightman | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2015-12-23 |
| 1477807733 | Jennifer Walkinshaw | Dental Hygienist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
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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.