DENISE LORRAINE FUNKE (NPI# 1821603630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821603630 |
| Entity Type | Individual |
| Full Name | DENISE LORRAINE FUNKE |
| Credential | RDH |
| Practice Address |
1 Eagle Rd Alameda CA 94501-5100 |
| Mailing Address |
4991 Ridgefield Cir Fairfield CA 94534-6433 |
| Practice Telephone | 5104373989 |
| Mailing Telephone | 7073219995 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address |
1 EAGLE RD |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063506137 | Derek Sanchez | Technician, Other | 1 Eagle Rd, Health Service Division, Alameda, CA 94501-5100 | 2006-10-03 |
| 1023653672 | Maxwell Kaczmarek | Physician Assistant | 1 Eagle Rd, Alameda, CA 94501-5100 | 2019-11-07 |
| 1033625272 | Meridith A Palo | Physician Assistant | 1 Eagle Rd, Alameda, CA 94501-5100 | 2017-12-26 |
| 1437449816 | Susan Elissa Parrish | Physician Assistant | 1 Eagle Rd, U.S. Coast Guard Base Alameda Clinic, Alameda, CA 94501-5100 | 2011-04-19 |
| 1558680983 | Chelsey Rheyann K Fernandez | Military Health Care Provider | 1 Eagle Rd, Alameda, CA 94501-5100 | 2010-05-25 |
| 1174857122 | Megan Ann Lynch | Military Health Care Provider | 1 Eagle Rd, Alameda, CA 94501-5100 | 2009-09-23 |
| 1275769994 | Everett Vincent Linn | Specialist/Technologist, Other | 1 Eagle Rd, Alameda, CA 94501 | 2009-06-09 |
| 1407080096 | Robyn May Faught | Technician, Other | 1 Eagle Rd, Health Service Department, Alameda, CA 94501-5100 | 2009-05-11 |
| 1497951487 | Stephen Wade Marrow | Technician, Other | 1 Eagle Rd, Alameda, CA 94501-5100 | 2007-06-26 |
| 1992907190 | Josiah Micah Tank | Technician, Other | 1 Eagle Rd, Alameda, CA 94501-5100 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| 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 |
|---|---|---|---|---|
| 1447313713 | Vicki Jo Harris | Dental Hygienist | 3016 San Jose Ave, Alameda, CA 94501-4834 | 2006-12-18 |
| 1104915305 | Lydia Jardine | Dental Hygienist | Building One, Uscg Coast Guard Island, Alameda, CA 94501 | 2006-10-12 |
| 1700179512 | Jennifer Ann Martinez | Dental Hygienist | 1 Eagle Road, Coast Guard Island, Alameda, CA 94501 | 2011-05-26 |
| 1902007826 | Diversified Mobile Smiles | Dental Hygienist | 3016 San Jose Ave, Alameda, CA 94501-4834 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
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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.