MRS. ANN MARIE TOLEDO (NPI# 1760554695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760554695 |
| Entity Type | Individual |
| Full Name | MRS. ANN MARIE TOLEDO |
| Credential | RDH |
| Practice Address |
12000 Stone Lake Road Dulce NM 87528-0187 |
| Mailing Address |
Po Box 187 Ihs Jicarilla Health Care Center Dulce NM 87528-0187 |
| Practice Telephone | 5757597227 |
| Practice Fax Number | 5757599292 |
| Mailing Telephone | 5757597227 |
| Mailing Fax Number | 5757599292 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 31-005071 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE PART B | HSZ196 | 01 |
| NM | 000K3526 | 05 |
| Street Address |
12000 STONE LAKE ROAD |
| City | DULCE |
| State | NM |
| Zip Code | 87528-0187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568453702 | Richard Allen March | Physician Assistant | 12000 Stone Lake Road, Dulce, NM 97528-3291 | 2005-11-04 |
| 1770809527 | Ursula Michael Gabriel | Nurse's Aide | 12000 Stone Lake Road, Dulce, NM 87528 | 2010-04-19 |
| 1467778365 | Cynthia M. Montanez | Registered Nurse | 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 | 2010-04-16 |
| 1184946626 | Inna Voinich | Pharmacist | 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2010-02-25 |
| 1548597743 | Dhhs/ihs/aao/jsu/dulce Health Center | Clinic/Center | 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 | 2009-11-09 |
| 1619117116 | Darlene Peshlakai Valdez | Nurse's Aide | 12000 Stone Lake Road, Dulce, NM 87528 | 2009-02-24 |
| 1487805198 | Anna V. Hall | Spec/Tech, Pathology | 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2008-10-01 |
| 1629228507 | Marcia Ann Sahmaunt | Technician, Pathology | 12000 Stone Lake Road, Dulce, NM 87528 | 2008-09-26 |
| 1851550776 | Diana Connell | Registered Nurse | 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2008-06-05 |
| 1043479330 | E Joan Wilson | Specialist/Technologist, Other | 12000 Stone Lake Road, Dulce, NM 87528 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| 1780003442 | Jacob Alexander | Preventive Medicine | 500 N. Mundo, Dulce, NM 87528 | 2014-04-09 |
| 1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
| 1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
| 1720331697 | Northwest Reional Education Coop #2 | Student in an Organized Health Care Education/Training Program | 91 Hawk Drive, Dulce, NM 87528 | 2012-10-17 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
| 1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
| Find all providers in zip 87528 | ||||
| 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 |
|---|---|---|---|---|
| 1194834242 | Katherine E Berry | Dental Hygienist | 12000 Stone Lake Rd, Jicarilla Apache Health Care Facility, Ihs, Dulce, NM 87528-0000 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940787 | Carrie Boehm | Dental Hygienist | 2844 E Main St Ste 106-145, Farmington, NM 87402-5260 | 2020-10-16 |
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1669095188 | Julie Arneson | Dental Hygienist | 11 Sacred Vista Rd, El Prado, NM 87529 | 2020-05-19 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1841839099 | Naomi Lynn Amador | Dental Hygienist | 105 Golf Dr, Clovis, NM 88101-3145 | 2020-01-04 |
| 1972061539 | Mary Hilley | Dental Hygienist | 33 General Sage Dr, Santa Fe, NM 87505-6397 | 2019-03-03 |
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1356825186 | Roberta Rodriguez | Dental Hygienist | 15136 St Hwy 75, Penasco, NM 87553 | 2018-09-18 |
| 1285125658 | Alicia T Medrano | Dental Hygienist | 1105 Golf Course Rd Se Bldg A, Rio Rancho, NM 87124-4733 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
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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.