CANDACE NICCOLSON (NPI# 1942628474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942628474 |
Entity Type | Individual |
Full Name | CANDACE NICCOLSON |
Credential | RDHAP |
Practice Address |
6546 Flanders Dr Newark CA 94560-1163 |
Practice Telephone | 5103041284 |
Mailing Telephone | 5103041284 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | HAP340 | CA | Dental Providers |
Street Address |
6546 FLANDERS DR |
City | NEWARK |
State | CA |
Zip Code | 94560-1163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
Find all providers in zip 94560 |
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 |
---|---|---|---|---|
1023561602 | Kohli Dental Corp | Dental Hygienist | 5910 Thornton Ave Ste D, Newark, CA 94560-3800 | 2016-07-29 |
1578915534 | Nancy Brohawn | Dental Hygienist | 39 Country Hills Dr, Newark, DE 19711-2517 | 2016-07-01 |
1548663040 | Janice Large | Dental Hygienist | 675 Price Rd, Newark, OH 43055-9506 | 2014-09-29 |
1922526227 | Helen Mengstu | Dental Hygienist | 675 Price Rd, Newark, OH 43055-9506 | 2017-09-07 |
1518407873 | Kayla Guido | Dental Hygienist | 110 William St, Newark, NJ 07102-1304 | 2017-03-06 |
1801212725 | Christine Gomes | Dental Hygienist | 22 Downing St, Newark, NJ 07105-2314 | 2014-03-16 |
1750650859 | Marissa Anne Fanelli | Dental Hygienist | 741 Broadway, Newark, NJ 07104-4309 | 2011-12-19 |
1730226242 | Luz M Moreno | Dental Hygienist | 239 Elm St, Newark, NJ 07105-1720 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
Find all providers with the same taxonomy |
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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.