CARLY BOTTEN (NPI# 1801337985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801337985 |
| Entity Type | Individual |
| Full Name | CARLY BOTTEN |
| Credential | DENTAL HYGIENIST |
| Practice Address |
15910 W Company Lake Rd C/o Tricia Krym Hayward WI 54843-5320 |
| Mailing Address |
15910 W Company Lake Rd Hayward WI 54843-5320 |
| Practice Telephone | 7156342541 |
| Mailing Telephone | 7156342541 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1003022 | WI | Dental Providers |
| Street Address |
15910 W COMPANY LAKE RD C/O TRICIA KRYM |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609198027 | Great Lakes Mental Health Center | Counselor | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2010-02-26 |
| 1558841056 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2018-08-15 |
| 1477945426 | Tamara Tucker | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2015-02-28 |
| 1740683531 | Jamie Cook | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-10-07 |
| 1295136422 | Tara Lapcinski | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-09-08 |
| 1124436159 | The Lakes Community Health Center, Inc | Clinic/Center | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-07-22 |
| 1558701797 | Janice Wilton | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2013-07-02 |
| 1447699475 | Kelly N Archambeau | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2013-06-24 |
| 1952683609 | Joseph Bradley Granica | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2011-09-19 |
| 1205120102 | Laura Channing | Dentist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| 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 |
|---|---|---|---|---|
| 1932567476 | Carmen Thompson | Dental Hygienist | 27592 Miami Ave, Hayward, CA 94545-4716 | 2016-01-28 |
| 1184923963 | Mallory Conley Harcourt | Dental Hygienist | 25200 Carlos Bee Blvd Apt 562, Hayward, CA 94542-1511 | 2011-03-20 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1417014580 | Zoya Kogan | Dental Hygienist | 26250 Industrial Blvd, Suite 24, Hayward, CA 94545-2922 | 2007-01-01 |
| 1811476245 | Katie Christensen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-08-07 |
| 1265926323 | Macey Bunkelman | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-06-21 |
| 1629568779 | Julie Theisen | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-05-15 |
| 1760972814 | Lisa Vang | Dental Hygienist | 15954 Rivers Edge Dr, Hayward, WI 54843-7800 | 2018-05-15 |
| 1710331590 | Roxie Lynn Quaderer | Dental Hygienist | 13380 W Trepania Rd, 13380 W Trepania Road, Hayward, WI 54843-2186 | 2016-04-19 |
| 1477945426 | Tamara Tucker | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2015-02-28 |
| Find all providers in HAYWARD | ||||
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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.