ELROY DEAN QUEMADO (NPI# 1790252708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790252708 |
Entity Type | Individual |
Full Name | ELROY DEAN QUEMADO |
Practice Address |
1019 112th St Sw Everett WA 98204-4875 |
Mailing Address |
1225 183rd St Se Apt L205 Bothell WA 98012-7547 |
Practice Telephone | 4255516001 |
Practice Fax Number | 4255516009 |
Mailing Telephone | 8083066695 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | WA | Dental Providers |
Street Address |
1019 112TH ST SW |
City | EVERETT |
State | WA |
Zip Code | 98204-4875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
1548867302 | Ran Tao | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2020-10-05 |
1881254464 | Sandra Lynn Crannell | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-06-17 |
1871058073 | Lauren Nguyen | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-02-01 |
1104394097 | Reginah Nampinga | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-11-08 |
1487008462 | Hiruy Gebrewold | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-04-15 |
1972961571 | Courtney Fisher | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-02-10 |
1699132001 | Samina Quidwai | Dentist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-01-15 |
1699131284 | Marissa Lee Darling | Dietitian, Registered | 1019 112th St Sw, Everett, WA 98204 | 2016-01-12 |
1376918078 | Erin Elizabeth Grady | Nurse Practitioner | 1019 112th St Sw, Everett, WA 98204-4875 | 2015-12-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
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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 |
---|---|---|---|---|
1225685076 | Maria Guadalupe Scott | Dental Hygienist | 1920 100th St Se Ste C2, Everett, WA 98208-3832 | 2019-08-26 |
1972956423 | Miles F. Neff, Dds | Dental Hygienist | 3230 Colby Ave Ste 3, Everett, WA 98201-4399 | 2016-07-20 |
1548867302 | Ran Tao | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2020-10-05 |
1881254464 | Sandra Lynn Crannell | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-06-17 |
1457870701 | Maria Esquivel | Dental Hygienist | 1424 Broadway, Everett, WA 98201-1720 | 2017-09-18 |
1487008462 | Hiruy Gebrewold | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-04-15 |
1972961571 | Courtney Fisher | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-02-10 |
1942556147 | Rebecca J Vesely | Dental Hygienist | 1424 Broadway, Everett, WA 98201-1720 | 2012-07-25 |
1255631669 | Eileen R Marasigan | Dental Hygienist | 2722 Colby Ave, Suite 318, Everett, WA 98201-3557 | 2010-11-01 |
1306150941 | Kelly Mandella | Dental Hygienist | 2722 Colby Ave, Suite 318, Everett, WA 98201-3557 | 2010-08-05 |
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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.