ALTHEA MOORE (NPI# 1922618594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922618594 |
| Entity Type | Individual |
| Full Name | ALTHEA MOORE |
| Practice Address |
2020 W Harrison St Chicago IL 60612-3741 |
| Mailing Address |
1645 Cottage Grove Ave Ford Heights IL 60411-3818 |
| Practice Telephone | 3125724785 |
| Mailing Telephone | 3125724785 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020.011098 | IL | Dental Providers |
| Street Address |
2020 W HARRISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376515379 | Lauren Foster | Nurse Practitioner | 2020 W Harrison St, Chicago, IL 60612-3741 | 2006-02-03 |
| 1407468093 | Ellen Zoe Sanders | Physician Assistant | 2020 W Harrison St, Chicago, IL 60612-3741 | 2020-08-17 |
| 1366073256 | Cook County | Family Medicine | 2020 W Harrison St, Chicago, IL 60612-3741 | 2020-01-29 |
| 1184289779 | Christopher L Wilson | Social Worker | 2020 W Harrison St, Chicago, IL 60612-3741 | 2019-05-08 |
| 1861984940 | Jessica Arroyo Ortiz | Counselor | 2020 W Harrison St, Chicago, IL 60612-3741 | 2018-06-04 |
| 1740781897 | Deirdre Michelle Kemp | Counselor | 2020 W Harrison St, Chicago, IL 60612-3741 | 2018-02-23 |
| 1245751734 | Ixchell Yanet Ortiz Estes | Nurse Practitioner | 2020 W Harrison St, Chicago, IL 60612-3741 | 2017-07-05 |
| 1316485113 | Kimberly A Koralewski | Counselor | 2020 W Harrison St, Chicago, IL 60612-3741 | 2017-02-01 |
| 1346796711 | Marisol Consignado | Pharmacist | 2020 W Harrison St, Chicago, IL 60612-3741 | 2016-08-26 |
| 1144775677 | Neha Chikani | Pharmacist | 2020 W Harrison St, Chicago, IL 60612-3741 | 2016-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| 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 |
|---|---|---|---|---|
| 1417504192 | Laura M Scully | Dental Hygienist | 7013 W Farragut Ave, Chicago, IL 60656-1923 | 2019-08-19 |
| 1982269551 | Elisabeth Raya | Dental Hygienist | 1950 W Polk St Ste 1000, Chicago, IL 60612-3723 | 2019-05-08 |
| 1477009793 | Shawanda Carothers | Dental Hygienist | 8321 S. Hermitage Ave, Chicago, IL 60620-4630 | 2016-08-28 |
| 1033664420 | Rozalia Orlof | Dental Hygienist | 5415 N Neva Ave, Chicago, IL 60656-1934 | 2016-08-16 |
| 1053865865 | Gina Marie Misch | Dental Hygienist | 6535 W 60th St, Chicago, IL 60638-3313 | 2016-08-09 |
| 1255785994 | Daviliqua Thomas | Dental Hygienist | 7215 N Bell Ave, Chicago, IL 60645-2046 | 2016-04-19 |
| 1063889228 | Allison Winters | Dental Hygienist | 1741 W 93rd St, Chicago, IL 60643-5851 | 2015-08-24 |
| 1265784151 | Van Anh Nguyen | Dental Hygienist | 6074 N Troy St., Chicago, IL 60659 | 2012-10-03 |
| 1013262401 | Alfredo Carrasquillo | Dental Hygienist | 4104 W Nelson St, Chicago, IL 60641-5441 | 2012-07-21 |
| 1326318718 | Althea Brinker-thomas | Dental Hygienist | 3851 W Ogden Ave, Attn: Dental Dept, Chicago, IL 60623-2459 | 2012-01-03 |
| Find all providers in CHICAGO | ||||
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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.