JANE PHILLIPS (NPI# 1730609868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730609868 |
| Entity Type | Individual |
| Full Name | JANE PHILLIPS |
| Credential | RDH |
| Practice Address |
3200 Canyon Lake Dr Rapid City SD 57702-8114 |
| Mailing Address |
1013 Sitting Bull Ct Box Elder SD 57719-2434 |
| Practice Telephone | 6053552260 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2585 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164582433 | Jane Harakal Phillips | Social Worker | 4150 International Plz, Fort Worth, TX 76109-4892 | 2006-12-09 |
| 1518460203 | Jane C Phillips | Licensed Practical Nurse | 1914 Mercer Ave, Farrell, PA 16121-2505 | 2018-03-09 |
| 1356611743 | Jane Elizabeth Phillips | Counselor | 1604 N Washington Ave, Durant, OK 74701-2128 | 2012-01-03 |
| 1689962243 | Jane Ball Phillips | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2011-07-18 |
| 1881725125 | Jane Ellen Phillips | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2007-03-08 |
| 1982686697 | Jane J Phillips | Physician Assistant | 316 Del Prado Blvd S, Ste. 201, Cape Coral, FL 33990-1710 | 2005-11-17 |
| Street Address |
3200 CANYON LAKE DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-8114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566014 | Linnea Ann Putnam | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2005-05-28 |
| 1588201404 | Rachel Paulsen | Nurse Practitioner | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-12-10 |
| 1376105452 | Great Plains Tribal Chairmen's Health Board | Pharmacy | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2019-06-28 |
| 1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
| 1205344660 | Ethan A Harris | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-01-18 |
| 1770094674 | Eric C Robinson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-10-18 |
| 1588173322 | Alan Ross Patterson | Pharmacist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-09-25 |
| 1710407911 | Danielle Prudich | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-06-20 |
| 1407382666 | Dawn Badwound | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-05-10 |
| 1396279204 | Christin Demers | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2017-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| 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 |
|---|---|---|---|---|
| 1033454962 | Melissa Rae Drennon | Dental Hygienist | 1845 Harmony Heights Ln, 301, Rapid City, SD 57702-6245 | 2012-12-04 |
| 1497107056 | Cindy Delong | Dental Hygienist | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2016-07-07 |
| 1104050590 | Nicole Joleen Caroline | Dental Hygienist | 685 N Lacrosse St, Suite 5, Rapid City, SD 57701-1492 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467889857 | Patti Fuchs | Dental Hygienist | 903 N Monroe Ave, Pierre, SD 57501-2331 | 2013-10-01 |
| 1235577495 | Tucker William Gross | Dental Hygienist | 1306 S Lake Dr, Watertown, SD 57201-5450 | 2013-06-10 |
| 1902241797 | Carmen Kathryn Maher Kraft | Dental Hygienist | 24276 166th St. Airport Rd., Dental Clinic, Eagle Butte, SD 57625-0590 | 2013-05-07 |
| 1548513518 | Zona Lyn Hornstra | Dental Hygienist | 4420 E 37th St, Sioux Falls, SD 57103-6556 | 2012-10-16 |
| 1730342304 | Deena Elaine Rosario | Dental Hygienist | 1000 Health Center Road Kyle Health Center 57752, #540, Kyle, SD 57752-0540 | 2008-07-03 |
| 1851575609 | Suzanne R Luken | Dental Hygienist | 12279 Brady Dr, Custer, SD 57730-9160 | 2007-12-27 |
| 1154862068 | Damien Eric Lawhorn | Dental Hygienist | East Hwy 18, Pine Ridge, SD 57770-1201 | 2017-03-10 |
| 1205269339 | Candi Eileen Sails | Dental Hygienist | 804 N Euclid Ave, Pierre, SD 57501-1719 | 2013-08-13 |
| 1760814263 | Cori Jean Jacobson | Dental Hygienist | 804 N Euclid Ave, Pierre, SD 57501-1719 | 2013-08-07 |
| 1407288988 | Valerie Lynn Kavanaugh | Dental Hygienist | 804 N Euclid Ave, Pierre, SD 57501-1719 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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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.