MISS ADENA SUEN MANGKORNKEO (NPI# 1881241206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881241206 |
| Entity Type | Individual |
| Full Name | MISS ADENA SUEN MANGKORNKEO |
| Credential | RDA |
| Practice Address |
14827 80th Ave Se Snohomish WA 98296-8407 |
| Practice Telephone | 2067155504 |
| Mailing Telephone | 2067155504 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | WA | Dental Providers |
| Street Address |
14827 80TH AVE SE |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98296-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669887618 | Jacob Sung | Dentist | 16510 Wa-9 #102, Snohomish, WA 98296 | 2014-06-29 |
| 1972849396 | Jenny L Martinsen | Speech-Language Pathologist | 14311 Snohmish Cascade Dr, Snohomish, WA 98296 | 2012-12-13 |
| 1639429244 | Kathi Marie Jermulowske | Occupational Therapy Assistant | 16409 65th Ave Se, Snohomish, WA 98296 | 2012-09-12 |
| 1467755439 | Courtney Melissa Hammer | Chiropractor | 17416 Sr 9 Se, Suite B, Snohomish, WA 98296 | 2010-12-14 |
| 1205020591 | Kristy Marie Thompson | Family Medicine | 17432 State Route 9 Se Ste 201, Snohomish, WA 98296 | 2007-08-30 |
| 1306336896 | Amy L Bader | Massage Therapist | 18122 Sr 9 Se, Suite D, Snohomish, WA 98296 | 2018-05-10 |
| 1528274917 | Elango S Ramaiyan | Pharmacist | 17520 State Route 9 Se, Snohomish, WA 98296 | 2007-05-15 |
| 1215946017 | Cuong N. Hong | Dentist | 13119 Seattle Hill Rd, Suite 105, Snohomish, WA 98296-3400 | 2006-08-08 |
| 1669787818 | Seattle Hill Sport and Spine Physical Therapy | Clinic/Center | 13119 Seattle Hill Rd, Suite 107, Snohomish, WA 98296-3400 | 2010-08-12 |
| 1598836744 | Sara Wees | Optometrist | 13119 Seattle Hill Rd, Bldg 1 Ste 102, Snohomish, WA 98296-3400 | 2006-11-10 |
| Find all providers in zip 98296 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1932726049 | Usama Al Saedi | Dental Assistant | 1421 Nw 85th St Apt 110, Seattle, WA 98117-4298 | 2020-07-06 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1932747961 | Riley Whipple | Dental Assistant | 1401 S 45th Ave, West Richland, WA 99353-7904 | 2019-12-20 |
| 1700423274 | Beenish Farooq | Dental Assistant | 10710 Ne 10th St Apt 1702, Bellevue, WA 98004-1068 | 2019-12-04 |
| 1043864127 | Traci Guan | Dental Assistant | 2027 196th St Sw Ste R1, Lynnwood, WA 98036-7073 | 2019-07-28 |
| 1316408578 | Moises Cerecedo Rios | Dental Assistant | 512 5th Ave W Apt 6, Seattle, WA 98119-3944 | 2019-03-28 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1134615735 | Ronda Mechelle Pugaczewski | Dental Assistant | 12621 164th St E, Puyallup, WA 98374-9523 | 2018-07-06 |
| 1831680974 | Yessica Yasmin Gaxiola | Dental Assistant | 17425 Wa-99 Suite D, Lynnwood, WA 98037 | 2018-05-24 |
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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.