MS. KELLI GUMM (NPI# 1871158279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871158279 |
| Entity Type | Individual |
| Full Name | MS. KELLI GUMM |
| Credential | RDH |
| Practice Address |
326 Chapin St South Bend IN 46601-2541 |
| Mailing Address |
32252 Chicago Trl New Carlisle IN 46552-8101 |
| Practice Telephone | 5743358220 |
| Mailing Telephone | 5742921267 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 13004627A | IN | Dental Providers |
| Street Address |
326 CHAPIN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932316551 | Keith Alan Behr | Pharmacist | 326 Chapin St, South Bend, IN 46601-2541 | 2007-05-16 |
| 1497317952 | Doreen Cynthia Pienkowski | Dental Hygienist | 326 Chapin St, South Bend, IN 46601-2541 | 2019-07-05 |
| 1821299918 | Saint Joseph Regional Medical Center - South Bend Campus, Inc. | Clinic/Center | 326 Chapin St, South Bend, IN 46601-2541 | 2007-05-29 |
| 1437369626 | Saint Joseph Regional Medical Center South Bend Campus Inc | Clinic/Center | 326 Chapin St, South Bend, IN 46601-2541 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 1659985497 | Mary Cruz Aguilar | Dental Hygienist | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2020-08-31 |
| 1720605280 | Alma Delia Counsellor | Dental Hygienist | 1901 W Western Ave Ste B, South Bend, IN 46619-3570 | 2020-07-01 |
| 1497317952 | Doreen Cynthia Pienkowski | Dental Hygienist | 326 Chapin St, South Bend, IN 46601-2541 | 2019-07-05 |
| 1467920892 | Mallory Edmondson | Dental Hygienist | 1002 S Esther St, South Bend, IN 46615-1440 | 2018-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1578182309 | Carrie Striplin | Dental Hygienist | 6420 Sunset Ln, Indianapolis, IN 46260-4633 | 2020-04-12 |
| 1154979458 | Courtney Huffman | Dental Hygienist | 2709 Washington Ave Ste 2, Evansville, IN 47714-2412 | 2019-08-29 |
| 1972061562 | Jaime L Kinsey | Dental Hygienist | 4952 W 500 N, Wabash, IN 46992-9017 | 2019-03-04 |
| 1144708512 | Toni Leigh Szabo | Dental Hygienist | 14700 Carrigan Ct, Granger, IN 46530-4224 | 2018-07-29 |
| 1669964581 | Lisa A Greene | Dental Hygienist | Conservative Dental Solutions, 101 N Cross Street, Waveland, IN 47989 | 2018-06-06 |
| 1730670639 | Kathleen Mcmannes | Dental Hygienist | 4629 Melton Rd, Gary, IN 46403-2866 | 2018-05-25 |
| 1699298471 | Stacy Lynn Lashenik | Dental Hygienist | 7101 E Lincoln Hwy, Crown Point, IN 46307-8821 | 2017-07-24 |
| 1861871170 | Mercy Seat Dentistry | Dental Hygienist | 2155 Commerce Drive, Bluffton, IN 46714 | 2015-05-20 |
| 1992118426 | Lynnette Martin-richey | Dental Hygienist | 1453 Flagstone Dr, Dyer, IN 46311-2294 | 2014-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.