JENNA CORCORAN (NPI# 1750930970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750930970 |
| Entity Type | Individual |
| Full Name | JENNA CORCORAN |
| Practice Address |
Bldg 660 Mccornack Road Schofield Barracks HI 96857 |
| Mailing Address |
2553 Puu Hapapa Loop Wahiawa HI 96786-7046 |
| Practice Telephone | 8084336825 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH011385 | GA | Dental Providers |
| Street Address |
BLDG 660 MCCORNACK ROAD |
| City | SCHOFIELD BARRACKS |
| State | HI |
| Zip Code | 96857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538365036 | Tripler Army Medical Center | Clinic/Center | Bldg 660 Mccornack Road, Dental Clinic, Schofield Barracks, HI 96857 | 2007-06-22 |
| 1407409444 | Stanley Thomas | Dentist | Bldg 660 Mccornack Road, Schofield Barracks, HI 96857 | 2019-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542529 | Susan H. Greenia | Marriage & Family Therapist | 673 Ayres Ave, Bdlg 750 Room 136, Schofield Barracks, HI 96857 | 2020-06-11 |
| 1528688215 | Angelika Koreen-gordon | Registered Nurse | Desmond T. Doss Health Clinic, Bldg 682, Schofield Barracks, HI 96857 | 2020-04-22 |
| 1841822863 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Schofield Main Exchange Building, 694 Mccornack Suite Sac19, Schofield Barracks, HI 96857 | 2020-02-07 |
| 1972152528 | Andrea D Raskin | Dental Hygienist | Bldg 660 Mc Cornack Road, Schofield Barracks, HI 96857 | 2019-09-06 |
| 1376190959 | Nicole Felice Bishop | Dental Hygienist | Bldg#678 Mccornack Road, Na Koa Dental Clinic, Schofield Barracks, HI 96857 | 2019-08-20 |
| 1134648728 | Fiorela Ruiz | Social Worker | 471 Brannon Rd. Bldg. 96857, Schofield Barracks, HI 96857 | 2017-09-14 |
| 1821512245 | Jennifer Jo Witt | Nurse Practitioner | 394 Glennan St., Bldg 672 Room 217, Schofield Barracks, HI 96857 | 2017-07-27 |
| 1154842847 | Tracey Lynne Ross | Physical Therapy Assistant | 371 Brannon Road, Building 663, Schofield Barracks, HI 96857 | 2017-07-03 |
| 1205388279 | Amber Marks | Physician Assistant | Us Army Healthcare Clinic, Bldg 677, Schofield Barracks, HI 96857 | 2016-10-26 |
| 1144616442 | Rocky L. Cole | Counselor | 2094 Flagler Rd, Rm. 203a, Schofield Barracks, HI 96857 | 2015-04-13 |
| Find all providers in zip 96857 | ||||
| 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 |
|---|---|---|---|---|
| 1972152528 | Andrea D Raskin | Dental Hygienist | Bldg 660 Mc Cornack Road, Schofield Barracks, HI 96857 | 2019-09-06 |
| 1376190959 | Nicole Felice Bishop | Dental Hygienist | Bldg#678 Mccornack Road, Na Koa Dental Clinic, Schofield Barracks, HI 96857 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1245877968 | Marissa Powers | Dental Hygienist | 2452 Tusitala St Apt 809, Honolulu, HI 96815-3125 | 2019-12-01 |
| 1760024525 | Barbara Ann Pfuhl | Dental Hygienist | 790 Manawai St Apt 103, Kapolei, HI 96707-4567 | 2019-10-14 |
| 1679115513 | Carla Uchima-toy | Dental Hygienist | 246 Aikahi Loop, Kailua, HI 96734-1645 | 2019-10-11 |
| 1720636509 | Britney Tumaneng | Dental Hygienist | 94-951 Hiapo St, Waipahu, HI 96797-2804 | 2019-08-26 |
| 1124671870 | Laura Beth Iversen | Dental Hygienist | 91-226 Leleoi Pl, Ewa Beach, HI 96706-4642 | 2019-07-22 |
| 1932675212 | Dept. of Health-hi Developmental Disabilities H&cdsb (dental) | Dental Hygienist | 1700 Lanakila Ave Rm 203, Honolulu, HI 96817-2115 | 2018-10-15 |
| 1689048456 | Samantha Duncan | Dental Hygienist | 92-1492 Aliinui Dr # 605, Kapolei, HI 96707-4295 | 2015-11-17 |
| 1568898930 | Shannon Marie Jones | Dental Hygienist | 91-1023 Kai Kukuma St, Ewa Beach, HI 96706-6253 | 2013-09-17 |
| 1871933325 | Sally Jaye Walker | Dental Hygienist | 91-1024 Aipoola St, Ewa Beach, HI 96706-3956 | 2013-06-28 |
| Find all providers with the same taxonomy | ||||
| City | SCHOFIELD BARRACKS |
| Zip Code | 96857 |
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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.