DEIDRA HALL-GRAVES (NPI# 1902254840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902254840 |
| Entity Type | Individual |
| Full Name | DEIDRA HALL-GRAVES |
| Credential | EFDA |
| Practice Address |
5005 N Piedras St Us Army Dental Activity El Paso TX 79920-5002 |
| Practice Telephone | 9157426083 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
5005 N PIEDRAS ST US ARMY DENTAL ACTIVITY |
| City | EL PASO |
| State | TX |
| Zip Code | 79920-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663868 | Troy M Denunzio Sr. | Internal Medicine | 5005 N Piedras St, Attn: Credentials Office, El Paso, TX 79920-5001 | 2005-07-19 |
| 1255932331 | Kenneth A Paull | Social Worker | 5005 N Piedras St, El Paso, TX 79930-5097 | 2020-11-04 |
| 1326649757 | Ashley Monique Graham | Social Worker | 5005 N Piedras St, El Paso, TX 79920 | 2020-11-03 |
| 1710597695 | Alyssa Engel | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920 | 2020-08-05 |
| 1497372312 | Luke Sly | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920-5001 | 2020-06-26 |
| 1922620731 | Genevieve Weldon | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2020-05-14 |
| 1518503499 | Raul Aldair Marquez | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-11-26 |
| 1972146934 | Jaclyn Franz | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79930-5097 | 2019-10-22 |
| 1720632284 | Kara Young | Midwife | 5005 N Piedras St, El Paso, TX 79920 | 2019-08-01 |
| 1992367270 | Katharine Long | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| 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 |
|---|---|---|---|---|
| 1780163253 | Dimitri House-gaston | Dental Assistant | 5005 N.piedras, El Paso, TX 79920-5001 | 2018-08-07 |
| 1083111959 | Jessica Michelle Holmes | Dental Assistant | 4980 Sean Haggerty Dr Apt 373, El Paso, TX 79934-3342 | 2018-04-09 |
| 1861949315 | Grissel Davila | Dental Assistant | 11761 Flor Del Rio, El Paso, TX 79927 | 2016-09-01 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1053866335 | Ugendiesidett Richardson | Dental Assistant | 45524 Anderson Ave, El Paso, TX 79904-4211 | 2016-08-17 |
| 1639623150 | Rocio Ada Salazar | Dental Assistant | 11629 Grotto Bay Ct, El Paso, TX 79936-1089 | 2016-08-12 |
| 1790239580 | Adriana Mendoza | Dental Assistant | 10751 Coral Sands Dr, El Paso, TX 79924-1142 | 2016-08-09 |
| 1528418225 | Darla Christine Butz | Dental Assistant | 5005 North Piedras, Us Army Dental Activity, El Paso, TX 79920-5001 | 2016-06-14 |
| 1174973895 | Leilani Hart | Dental Assistant | 5005 N Piedras Att: Dentac, Us Army Dental Activity, El Paso, TX 79920-5001 | 2016-06-14 |
| 1518478544 | Breonna Rashele Ray | Dental Assistant | 5005 N Piedras St, El Paso, TX 79920-5002 | 2017-10-17 |
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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.