JESSICA DIAZ


Address: 1270 W Main St, Sun Prairie, WI 53590-1930
Phone: 6088257100

JESSICA DIAZ (NPI# 1861849945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861849945
Entity Type Individual
Full Name JESSICA DIAZ
Credential RDH
Practice Address 1270 W Main St
Sun Prairie
WI 53590-1930
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6088257100
Practice Fax Number 6088379134
Enumeration Date 2016-05-19
Last Update Date 2016-05-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 1002640-16 WI Dental Providers

Other Providers JESSICA DIAZ

NPI Name Taxonomy Address Enumeration
1023518719 Jessica Itzel Diaz Registered Nurse 323 Rocky Lane Dr, Midland, TX 79703-6063 2018-02-19
1306354683 Jessica L Diaz Counselor 1224 Laurel St, Indianapolis, IN 46203-1908 2018-01-20
1366841306 Jessica Lisbet Diaz Counselor 901 W Victoria St. Suite F & G, Compton, CA 90220 2014-08-15
1689272718 Jessica Brittney Diaz Rehabilitation Practitioner 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 2020-10-12
1164048443 Jessica Grace Diaz Behavior Technician 2820 W Charleston Blvd Ste 22, Las Vegas, NV 89102-1933 2020-06-22
1184282303 Jessica Diaz Counselor 145 E Deer Flat Rd, Kuna, ID 83634-1323 2019-06-03
1174086425 Jessica Diaz Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 125, Minneapolis, MN 55455 2019-04-12
1154899474 Jessica Michelle Diaz Counselor 600 W Manchester Ave, Los Angeles, CA 90044-5770 2018-11-05
1083117956 Jessica Monique Diaz Counselor 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 2018-03-16
1063926517 Jessica Marie Diaz Physician Assistant 201 E 65th St, New York, NY 10065 2017-11-20

Office Location

Street Address 1270 W MAIN ST
City SUN PRAIRIE
State WI
Zip Code 53590-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063995553 Katherine A Schuler Dentist 1270 W Main St, Sun Prairie, WI 53590-1930 2018-09-11
1568823839 Angela Engelmann Dental Hygienist 1270 W Main St, Sun Prairie, WI 53590-1930 2016-03-15
1255772349 Sarah E Dewolf Dentist 1270 W Main St, Sun Prairie, WI 53590-1930 2013-07-17
1205139821 Raymond Matthew Maddox Dentist 1270 W Main St, Sun Prairie, WI 53590-1930 2010-12-21
1417260712 Kasheena S Hollis Dentist 1270 W Main St, Sun Prairie, WI 53590-1930 2010-07-15
1730349432 Jamie L. Mandigo Dentist 1270 W Main St, Sun Prairie, WI 53590-1930 2008-06-16
1295916419 Matt R Agnew Dentist 1270 W Main St, Sun Prairie, WI 53590-1930 2007-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194280529 Kasi Lucas Schroeder Chiropractor 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 2019-02-11
1770053712 Jamie Engstrom Psychologist 3061 Pleasant St, 216, Sun Prairie, WI 53590 2018-12-03
1154837433 Wisconsin Dental Health, LLC Dentist 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 2017-12-21
1669981676 Elizabeth M Gregg Counselor 1170 N Bird St, Sun Prairie, WI 53590 2017-09-21
1609298595 Prairie Lakes Dental Dentist 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 2014-01-10
1407297559 Quality Medical Rides LLC Non-emergency Medical Transport (VAN) 2907 Vang Rd, Sun Prairie, WI 53590 2013-07-17
1376892851 Costco Wholesale Corporation Pharmacy 2850 Hoepker Rd, Sun Prairie, WI 53590 2012-08-30
1043454234 Dean Lewis Drake Registered Nurse 7281 County Rd V. V., Sun Prairie, WI 53590 2009-05-01
1679728992 Dianne Mary Mayr Registered Nurse 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 2008-12-01
1043462021 Crown Point Village, LLC Assisted Living Facility 881 Liberty Boulevard, Sun Prairie, WI 53590 2008-10-21
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619315249 Shirley B Gutkowski Dental Hygienist 2775 Shadow Trl, Sun Prairie, WI 53590-9335 2013-06-05
1053690552 Sandra Jean Schroeder Dental Hygienist 6694 Sam Hill Dr, Sun Prairie, WI 53590-9384 2011-08-15
1861631038 Linda Kay Plunkett Dental Hygienist 6408 Gehrke Parkway Cir, Sun Prairie, WI 53590-9331 2009-02-11
1104488733 Diane Marie Romary Dental Hygienist 1266 W Main St, Sun Prairie, WI 53590-1918 2019-07-03
1568823839 Angela Engelmann Dental Hygienist 1270 W Main St, Sun Prairie, WI 53590-1930 2016-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1659983914 Rachel Benck Dental Hygienist 1089 174th St, Hammond, WI 54015-4831 2020-08-18
1619594710 Vanessa Jane Loertscher Dental Hygienist 103 W. Mcmillan St., Marshfield, WI 54449-3502 2020-07-06
1881242535 Michelle Amanda Shalander Dental Hygienist 308 S 1st Street, Luck, WI 54853 2019-08-27
1689130437 Theresa Marcie Mock Dental Hygienist 8669 Airport Rd, Middleton, WI 53562-4147 2019-02-18
1598229866 Tonya Marie Evjen Dental Hygienist N3615 County Road G, Ladysmith, WI 54848-9389 2019-01-30
1922571884 Erin Kaye Fandre Dental Hygienist 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 2019-01-03
1790256246 Heather Renee Walker Dental Hygienist 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 2018-12-10
1730657974 Anne Chianello Dental Hygienist 11643 47th Ave, Pleasant Prairie, WI 53158-3618 2018-11-06
1891263216 Stephanie Rice Dental Hygienist N4008 Morgan Dr, Waupaca, WI 54981 2018-11-03
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Competitor

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City SUN PRAIRIE
Zip Code 53590

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Dataset Information

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.

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