KELLY BAUER (NPI# 1922105022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922105022 |
Entity Type | Individual |
Full Name | KELLY BAUER |
Credential | RDH |
Practice Address |
102 Flag Lake Dr Ste C Lake Jackson TX 77566-6215 |
Mailing Address |
110 Flag Dr E Lake Jackson TX 77566-6006 |
Practice Telephone | 9792971201 |
Practice Fax Number | 9792976226 |
Mailing Telephone | 9792971634 |
Mailing Fax Number | 9792976226 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 5289 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912107129 | Kelly R Bauer | Physical Therapist | 1125 Grove St, Ste 120, Loudon, TN 37774-3251 | 2007-07-25 |
1033248380 | Kelly Ann Bauer | Psychiatry & Neurology | 400 Farm Ln, Doylestown, PA 18901-4740 | 2007-03-04 |
1023199973 | Kelly Bauer | Counselor | 11200 Waples Mill Rd, Suite 180, Fairfax, VA 22030-7407 | 2006-10-18 |
Street Address |
102 FLAG LAKE DR STE C |
City | LAKE JACKSON |
State | TX |
Zip Code | 77566-6215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184738312 | Brian K Bell Dds Pa | Dentist | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-08-17 |
1356440895 | Pam A Stone | Dental Assistant | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-21 |
1154428233 | Jasmine S Hernandez | Dental Assistant | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-20 |
1184721342 | Kara L Rice | Dental Assistant | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-20 |
1437256609 | Christi M Matteck | Dental Hygienist | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-20 |
1184721276 | Kristy Polhemus | Dental Assistant | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-20 |
1932206000 | Linda G Lane | Dental Assistant | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-20 |
1003920257 | Brian Keith Bell | Dentist | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-08-17 |
1457465619 | John Mark Coulter | Dentist | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
Find all providers in zip 77566 |
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 |
---|---|---|---|---|
1689771727 | Eddye C Powell | Dental Hygienist | 101 Gladiola St, Lake Jackson, TX 77566-4702 | 2006-09-20 |
1437256609 | Christi M Matteck | Dental Hygienist | 102 Flag Lake Dr Ste C, Lake Jackson, TX 77566-6215 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
1174120927 | Michelle Miller | Dental Hygienist | 3725 N Lighthouse Hill Ln, Fort Worth, TX 76179-3827 | 2020-10-05 |
1588280341 | Melissa Hohman | Dental Hygienist | 361 Acacia Dr S, Uvalde, TX 78801-1164 | 2020-06-17 |
1689296154 | Christine Whitaker Fordtran | Dental Hygienist | 2205 Williams Trace Blvd Ste 108, Sugar Land, TX 77478-4443 | 2020-05-07 |
1023639010 | Ronni Renee Gallina | Dental Hygienist | 1501 E Loop 304 Ste 100, Crockett, TX 75835-3417 | 2020-04-30 |
1568081792 | Miguel A Martinez | Dental Hygienist | 3308 Greenock St, El Paso, TX 79925-4100 | 2020-04-08 |
1629601406 | Jahfiqerah Jarrett | Dental Hygienist | 1000 E 5th St Unit 110, Austin, TX 78702-3827 | 2020-02-19 |
1831722057 | Dawn Anna Sackett | Dental Hygienist | 1640 N Zaragoza Rd # 2-213, El Paso, TX 79936-8004 | 2020-02-17 |
1942833140 | Anita Parra Pesina | Dental Hygienist | 10011 Shady Mdws, San Antonio, TX 78245-3806 | 2020-02-16 |
1003448903 | Erin Rachel Ginithan | Dental Hygienist | 1816 N Zaragoza Rd Ste B, El Paso, TX 79936-8019 | 2020-02-08 |
Find all providers with the same taxonomy |
City | LAKE JACKSON |
Zip Code | 77566 |
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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.