DR. NIKKI DEJBOD (NPI# 1902183916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902183916 |
Entity Type | Individual |
Full Name | DR. NIKKI DEJBOD |
Credential | DDS |
Practice Address |
15990 S Rancho Sahuarita Blvd Suite #110 Sahuarita AZ 85629-8025 |
Mailing Address |
1505 W Saint Marys Rd #178 Tucson AZ 85745-3107 |
Practice Telephone | 5203634774 |
Enumeration Date | 2011-11-04 |
Last Update Date | 2016-03-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 60588 | CA | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9171 | AZ | Dental Providers |
Street Address |
15990 S RANCHO SAHUARITA BLVD SUITE #110 |
City | SAHUARITA |
State | AZ |
Zip Code | 85629-8025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851927669 | Northwest Sahuarita Hospital LLC | General Acute Care Hospital | 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2020-03-13 |
1134622590 | United Community Health Center-maria Auxiliadora, Inc. | Clinic/Center | 18857 S. Lacanada Dr., Sahuarita, AZ 85629 | 2018-03-13 |
1689114324 | Barbara Scheidel | Contractor | 15600 S Avenida Haley, Sahuarita, AZ 85629 | 2017-02-28 |
1477953891 | Green Valley Fire District | Nurse Practitioner | 898 N. Campbell, Sahuarita, AZ 85629 | 2014-09-04 |
1477952844 | Stacey Abbott | Pharmacist | 18680 N Nogales Hwy, Sahuarita, AZ 85629 | 2014-08-21 |
1386078087 | Mary Yvonne Hinojosa | Pharmacist | 17235 S Irving Ave, Sahuarita, AZ 85629 | 2013-08-29 |
1174965628 | Gaetan Ntezeh Nkemzi | Pharmacist | 1301 W. Duval Mine Rd, Sahuarita, AZ 85629 | 2013-07-25 |
1487964490 | Caring Hearts of Sahuarita | Home Health | 336 E Camino Rancho Seguro, Sahuarita, AZ 85629 | 2010-10-13 |
1821230160 | Elisha Wintch | Psychologist | 350 W. Sahuarita Rd, Sahuarita, AZ 85629 | 2009-04-01 |
1205099116 | Gordon H Marrs | Pharmacist | 15950 S. Rancho Sahuarita Blvd, Sahuarita, AZ 85629 | 2008-07-10 |
Find all providers in zip 85629 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
Find all providers with the same taxonomy |
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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.