HYRUM KENNETH MITCHELL (NPI# 1912531781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912531781 |
| Entity Type | Individual |
| Full Name | HYRUM KENNETH MITCHELL |
| Credential | DMD |
| Practice Address |
5855 E Still Cir Mesa AZ 85206-3631 |
| Practice Telephone | 4802488100 |
| Mailing Telephone | 4802488100 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5855 E STILL CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548489990 | Marjorie Wright | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2007-04-24 |
| 1538717772 | Maya Johnson | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2019-08-30 |
| 1932662590 | Aniruddha Wagh | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2019-04-10 |
| 1144787367 | Shanice Shamela Algarin | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2019-02-24 |
| 1790152403 | Clark Chen | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2015-08-28 |
| 1326396383 | Steven Gregory Prince | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2012-08-24 |
| 1982959375 | Jeremiah W Sturgill | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2012-07-21 |
| 1811288384 | Satish S. Kumar | Dentist | 5855 E Still Cir, Mesa, AZ 85206 | 2011-05-02 |
| 1326349523 | A.t. Still University of Health Sciences | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2010-11-04 |
| 1063712750 | Roy Holexa | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2010-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1689287542 | Victoria Lyn Slaven | Student in an Organized Health Care Education/Training Program | 1342 S Revere, Mesa, AZ 85210-5124 | 2020-08-28 |
| 1588276349 | Michael Robert Nango | Student in an Organized Health Care Education/Training Program | 5058 E Greenway St, Mesa, AZ 85205-3472 | 2020-08-21 |
| 1821600701 | Landon Merkley | Student in an Organized Health Care Education/Training Program | 120 1/2 N Wilbur, Mesa, AZ 85201-6736 | 2020-08-20 |
| 1487266524 | Brittany Alexandra Day | Student in an Organized Health Care Education/Training Program | 7325 E Mills St, Mesa, AZ 85207-2043 | 2020-08-19 |
| 1386254795 | Geneal Renee Whetten | Student in an Organized Health Care Education/Training Program | 5064 E Dartmouth Cir, Mesa, AZ 85205-6424 | 2020-08-01 |
| 1144830563 | Kaitlin Anne Benga | Student in an Organized Health Care Education/Training Program | 3060 N Ridgecrest Unit 106, Mesa, AZ 85207-1087 | 2020-08-01 |
| 1154958510 | Karzan Salih | Student in an Organized Health Care Education/Training Program | 445 S Dobson Rd Apt 1034, Mesa, AZ 85202-1827 | 2020-03-25 |
| 1689201170 | Joseph Miller | Student in an Organized Health Care Education/Training Program | 5620 E Alder Ave, Mesa, AZ 85206-1506 | 2020-03-24 |
| 1912534637 | Adam Zoltan Dregely | Student in an Organized Health Care Education/Training Program | 1440 S Clearview Ave Ste 104, Mesa, AZ 85209-3381 | 2020-03-24 |
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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.