MICHELLE L EVANS (NPI# 1922457027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922457027 |
| Entity Type | Individual |
| Full Name | MICHELLE L EVANS |
| Credential | DENTAL ASSISTANT |
| Practice Address |
4th & Inner Loop Road Bldg 171 Fort Irwin CA 92310 |
| Practice Telephone | 7195265537 |
| Mailing Telephone | 7195265537 |
| Mailing Fax Number | 7195242843 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470160 | Michelle Evans | Developmental Therapist | 602 Silver Creek Dr, Joliet, IL 60431-8340 | 2019-07-29 |
| 1407354715 | Michelle L Evans | Case Manager/Care Coordinator | 16 E Auglaize St, Wapakoneta, OH 45895-1577 | 2018-02-01 |
| 1811432529 | Michelle L Evans | Registered Nurse | 11104 Plumewood Dr, Austin, TX 78750-2830 | 2017-01-04 |
| 1326497371 | Michelle Evans | Speech-Language Pathologist | 1040 Red Fox Trl, Bishop, GA 30621-6141 | 2016-06-10 |
| 1134523160 | Michelle Evans | Massage Therapist | 4085 Vicksburg Ter, Colorado Springs, CO 80917-2311 | 2014-10-20 |
| 1811301476 | Michelle Evans | Physical Therapist | 7109 Hamilton Mason Road, West Chester, OH 45069 | 2014-06-11 |
| 1265772347 | Michelle L Evans | Nurse Practitioner | 2346 Walker Mill Rd, Poland, OH 44514-3658 | 2013-02-26 |
| 1194091405 | Michelle J Evans | Speech-Language Pathologist | 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305 | 2012-03-30 |
| 1730457052 | Michelle Lea Evans | Counselor | 3460 Briargate Blvd, Colorado Springs, CO 80920-4168 | 2011-12-01 |
| 1952631988 | Michelle Lynn Evans | Physician Assistant | 105 W Hospital Dr, West Columbia, SC 29169-3405 | 2010-01-14 |
| Street Address |
4TH & INNER LOOP ROAD BLDG 171 |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960620 | Jordan H.q. Tran | Dentist | 4th & Inner Loop Road, Building 171, Fort Irwin, CA 92310 | 2005-11-23 |
| 1023467123 | Frances Marie Lee | Dental Assistant | 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2016-06-09 |
| 1477902070 | Joshua Allen Hennis | Dental Assistant | 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2016-06-06 |
| 1073999777 | Ryan Steven Payne | Dentist | 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2015-08-04 |
| 1114243334 | Douglas Norris Waterman | Dentist | 4th & Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2010-04-13 |
| 1649214248 | Douglas Neil Wade | Dentist | 4th & Inner Loop Road, Bldg. 171, Fort Irwin, CA 92310-5076 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| 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 |
|---|---|---|---|---|
| 1710490511 | Tiffany Leann Elsey | Dental Assistant | 4655 Omaha Beach St, Fort Irwin, CA 92310-1914 | 2017-11-15 |
| 1053824862 | Marvy Blancaflor Walker | Dental Assistant | 5029 Calico Ct Apt B, Fort Irwin, CA 92310-2750 | 2017-11-15 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1528570835 | Andrea Smith Hamilton | Dental Assistant | 9089 Langford Lake Rd, Fort Irwin, CA 92310-2316 | 2017-10-26 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| 1841813292 | Deja Leticia Gomez-lewis | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-20 |
| 1225650989 | Nicholas Guajardo Bohling | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-15 |
| 1447872106 | Mya Latrice Harris | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-05-15 |
| 1760018154 | Nhat Truong | Dental Assistant | 4th and Inner Loop Road, Bldg 171, Fort Irwin, CA 92310 | 2020-03-17 |
| Find all providers in FORT IRWIN | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
Please comment or provide details below to improve the information on MICHELLE L EVANS.
| 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.