MRS. JODI BASIAGA (NPI# 1922473057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922473057 |
| Entity Type | Individual |
| Full Name | MRS. JODI BASIAGA |
| Credential | RDH |
| Practice Address |
2843 Vistaview Dr Nw Grand Rapids MI 49544-8204 |
| Practice Telephone | 6163287409 |
| Mailing Telephone | 6163287409 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902012957 | MI | Dental Providers |
| Street Address |
2843 VISTAVIEW DR NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1407221427 | Emily Kose | Dental Hygienist | 550 Cherry Street, Grand Rapids, MI 49503-4748 | 2015-12-02 |
| 1700250826 | Melissa O'dell | Dental Hygienist | 1904 Lynne Ln Nw, Grand Rapids, MI 49504-6029 | 2015-12-01 |
| 1205208667 | Jeanette Vanoeffelen | Dental Hygienist | 101 Sheldon Se, Grand Rapids, MI 49503 | 2015-10-26 |
| 1417354077 | Kelly Kathleen Bearss | Dental Hygienist | 6715 Old 28th St Se, Grand Rapids, MI 49546-6923 | 2014-11-25 |
| 1952916710 | Amy Lynn Jones | Dental Hygienist | 717 Georgia Ct Ne, Grand Rapids, MI 49525-2180 | 2020-09-09 |
| 1861024325 | Michelle Lynn Heeren | Dental Hygienist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2020-02-12 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1366004913 | Margaret Jane Vandenbosch | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1497317036 | Deborah Lynn Schorr | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1659835486 | Michelle Enos | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-01-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
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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.