JESSICA DIAZ (NPI# 1861849945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 1002640-16 | WI | Dental Providers |
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 |
Street Address |
1270 W MAIN ST |
City | SUN PRAIRIE |
State | WI |
Zip Code | 53590-1930 |
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 |
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 |
Find all providers in zip 53590 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
City | SUN PRAIRIE |
Zip Code | 53590 |
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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.