DR. CHRISTA YVETTE SPATES (NPI# 1952472276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952472276 |
| Entity Type | Individual |
| Full Name | DR. CHRISTA YVETTE SPATES |
| Credential | D.D.S. |
| Practice Address |
1320 W Northmoor Rd Peoria IL 61614-3470 |
| Practice Telephone | 3096903368 |
| Practice Fax Number | 3096916326 |
| Mailing Telephone | 3096903368 |
| Mailing Fax Number | 3096916326 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
01923199 | IL | Dental Providers |
| Street Address |
1320 W NORTHMOOR RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-3470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
| 1396186276 | Larry Tyler Jackson | Dentist | 14100 N 83rd Ave, Ste 280, Peoria, AZ 85381-5658 | 2013-07-08 |
| 1942541206 | Robert Dean Matthews | Dentist | 25225 N Lake Pleasant Pkwy Ste 1235, Peoria, AZ 85383-1390 | 2013-03-12 |
| 1609141464 | Kids First Dental Group | Dentist | 7314 N Willow Lake Ct Ste D, Peoria, IL 61614-8289 | 2012-03-13 |
| 1649558578 | Morghan Elizabeth Teeters | Dentist | 7505 W. Deer Valley Rd, Suite 110, Peoria, AZ 85382 | 2011-07-26 |
| 1558656223 | Fatima P. Pimentel | Dentist | 7505 W Deer Valley Rd Ste 110, Peoria, AZ 85382-2107 | 2011-06-10 |
| 1912095126 | Gregory Whelan | Dentist | 9840 W Yearling Rd, #1240, Peoria, AZ 85383-1377 | 2006-10-11 |
| 1629616826 | Morghan E. Teeters Dmd, Pllc | Dentist | 7505 W Deer Valley Rd Ste 110, Peoria, AZ 85382-2107 | 2019-12-18 |
| 1962923359 | Robert D Matthews, Dmd, Pllc | Dentist | 25225 N Lake Pleasant Pkwy Ste 1235, Peoria, AZ 85383-1390 | 2017-07-06 |
| 1336535152 | Kidz R Kool | Dentist | 7505 W Deer Valley Rd, Suite 110, Peoria, AZ 85382-2107 | 2015-04-08 |
| Find all providers in PEORIA | ||||
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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.