MRS. JENNIFER K AZEVEDO (NPI# 1801306493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801306493 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER K AZEVEDO |
| Other Name | MS. JENNIFER K BERGLAND |
| Credential | RDA, OSA |
| Practice Address |
201 E Orangeburg Ave Ste A Modesto CA 95350-5355 |
| Mailing Address |
201 E. Orangeburg Ave Suite A Modesto CA 95350 |
| Practice Telephone | 2095275050 |
| Practice Fax Number | 2095270659 |
| Mailing Telephone | 2095275050 |
| Mailing Fax Number | 2095270659 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | RDS77618 | CA | Dental Providers |
| Street Address |
201 E ORANGEBURG AVE STE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801324108 | Elizabeth Ramirez | Dental Assistant | 201 E Orangeburg Ave Ste A, Modesto, CA 95350-5355 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801324108 | Elizabeth Ramirez | Dental Assistant | 201 E Orangeburg Ave Ste A, Modesto, CA 95350-5355 | 2017-05-31 |
| 1679613327 | Kathleen D Wright | Dental Assistant | 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 | 2007-02-08 |
| 1508917675 | April N Nelson-ehlers | Dental Assistant | 1316 Coffee Rd Ste E14, Dr Roland Young, Modesto, CA 95355 | 2007-01-16 |
| 1083774285 | Stacie Anne Elson | Dental Assistant | 1130 Coffee Rd Ste 9a, Modesto, CA 95355-4228 | 2006-12-11 |
| 1477887628 | Mirna Metcalf | Dental Assistant | 1316 Coffee Rd, Bldg E, Modesto, CA 95355-3191 | 2009-09-21 |
| 1306170568 | Merissa Renee Apodaca | Dental Assistant | 1316 Coffee Rd Ste E14, Modesto, CA 95355-3191 | 2009-09-21 |
| 1275674434 | Krystal Lane | Dental Assistant | 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 | 2007-02-09 |
| 1033250287 | Angelica Cruz | Dental Assistant | 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 | 2007-02-09 |
| 1477694628 | Tracy Sise | Dental Assistant | 1213 Coffee Rd Ste D, Modesto, CA 95355-4229 | 2007-02-09 |
| 1669560082 | Shelby Adrienne Thompson | Dental Assistant | 1316 Coffee Rd, Suite E14, Modesto, CA 95355-3191 | 2006-10-11 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER K AZEVEDO.
| 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.