SAMANTHA THOMPSON (NPI# 1821488982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821488982 |
| Entity Type | Individual |
| Full Name | SAMANTHA THOMPSON |
| Credential | RDH |
| Practice Address |
1630 Fortino Blvd Pueblo CO 81008-1856 |
| Mailing Address |
120 Dotson Ave Pueblo CO 81005-1215 |
| Practice Telephone | 7195452468 |
| Mailing Telephone | 7192515183 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 905515 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 80354068 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636038 | Samantha Thompson | Nurse Practitioner | 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 | 2020-10-14 |
| 1700483617 | Samantha J Thompson | Counselor | 152 Sutter Ave, Brooklyn, NY 11212-4504 | 2020-10-04 |
| 1497230148 | Samantha Mary Thompson | Physician Assistant | 14465 Newton Rd, Middleburg Heights, OH 44130-2692 | 2018-09-28 |
| 1922592229 | Samantha Thompson | Registered Nurse | 3308 Blaze Dr, Murfreesboro, TN 37128-3878 | 2018-06-20 |
| 1457604092 | Samantha K Thompson | Physician Assistant | 4048 E Us 64 Alt, Murphy, NC 28906-6968 | 2012-10-19 |
| 1891395158 | Samantha Thompson | Technician | 725 Yokum St, Elkins, WV 26241-3353 | 2020-10-27 |
| 1871191676 | Samantha Lynn Thompson | Counselor | 307 W Cota St, Shelton, WA 98584-2265 | 2020-10-14 |
| 1396360129 | Samantha Thompson | Nurse Practitioner | 801 N 29th St, Billings, MT 59101-0905 | 2020-06-08 |
| 1124679865 | Samantha Thompson | Nurse Practitioner | 2400 Hospital Dr Ste 250, Bossier City, LA 71111-2390 | 2019-09-24 |
| 1457810897 | Samantha Paige Thompson | Behavior Technician | 3428 W Market St, Fairlawn, OH 44333-3339 | 2019-03-15 |
| Street Address |
1630 FORTINO BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306822556 | Alan M Takaki | Dentist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2005-12-20 |
| 1093322547 | Southern Colorado Health & Rehab | Clinic/Center | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2020-09-29 |
| 1649661737 | Debra Giordano | Dental Hygienist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2015-02-10 |
| 1841561024 | Alan M Takaki Takaki Dental Care Center | Dentist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2012-01-20 |
| 1497042493 | Jeremy V Thomas | Dentist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2011-06-29 |
| 1851623912 | Lorraine Kay Jubic | Dental Hygienist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2010-01-31 |
| 1306970017 | Med Tel International Corporation | Clinic/Center | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| 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 |
|---|---|---|---|---|
| 1124533393 | Lauren Stewart | Dental Hygienist | 2824 7th Ave, Pueblo, CO 81003-1625 | 2017-12-09 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1144695917 | Megan Nicole Passig | Dental Hygienist | 2920 Thornberry Ln, Pueblo, CO 81005-5110 | 2015-12-04 |
| 1790171429 | Dr. Robert C. Davis | Dental Hygienist | 902 West 29th Street, Pueblo, CO 81008-1159 | 2015-04-09 |
| 1538550728 | Crystal Mae Shepherd | Dental Hygienist | 3165 E Spaulding Ave Apt 101, Pueblo, CO 81008-2243 | 2015-02-10 |
| 1720482607 | Jeanne Graves | Dental Hygienist | 2099 W. Us Hwy 50, Suite #180, Pueblo, CO 81008-1673 | 2014-10-21 |
| 1376947481 | Linda Capito | Dental Hygienist | 36197 Daniel Rd, Pueblo, CO 81006-9430 | 2014-10-17 |
| 1386079465 | Bernice Martinez | Dental Hygienist | 1700 N Salem Ave Ste B, Pueblo, CO 81001-2846 | 2013-09-09 |
| 1356780167 | Rita Sebastiana Ohrdorf | Dental Hygienist | 1000 W 6th St Ste V, Pueblo, CO 81003-2378 | 2013-06-14 |
| Find all providers in PUEBLO | ||||
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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.