EMMA L MUPOTSA (NPI# 1962864934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962864934 |
| Entity Type | Individual |
| Full Name | EMMA L MUPOTSA |
| Credential | RDH |
| Practice Address |
6270 W Main St Intercare Community Health Network Eau Claire MI 49111-9480 |
| Mailing Address |
50 Industrial Park Road Bangor MI 49013 |
| Practice Telephone | 2694616927 |
| Practice Fax Number | 2694613068 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902017595 | MI | Dental Providers |
| Street Address |
6270 W MAIN ST INTERCARE COMMUNITY HEALTH NETWORK |
| City | EAU CLAIRE |
| State | MI |
| Zip Code | 49111-9480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762575 | Sherry Karon Taujale Shrestha | Family Medicine | 6270 W Main St, Eau Claire, MI 49111-9480 | 2005-10-05 |
| 1790336675 | Heather Rausch | Social Worker | 6270 W Main St, Eau Claire, MI 49111-9480 | 2019-09-23 |
| 1851753164 | April Diane Nitz | Dental Hygienist | 6270 W Main St, Intercare Community Health Network, Eau Claire, MI 49111-9480 | 2016-03-25 |
| 1952591570 | Michael Gabrielle Jaskiewicz | Nurse Practitioner | 6270 W Main St, Eau Claire, MI 49111-9480 | 2007-07-30 |
| 1952478281 | David A Puzycki | Internal Medicine | 6270 W Main St, Eau Claire, MI 49111-9480 | 2006-11-30 |
| 1861402067 | Intercare Community Health Network | Clinic/Center | 6270 W Main St, Eau Claire, MI 49111 | 2006-08-09 |
| 1902831357 | Denise J Bowen | Physician Assistant | 6270 W Main St, Eau Claire, MI 49111 | 2006-07-12 |
| 1457389389 | David R Reusser | Physician Assistant | 6270 W Main St, Eau Claire, MI 49111-9480 | 2006-06-29 |
| 1043281892 | Lani Leigh Hoshaw | Dentist | 6270 W Main St, Suite A, Eau Claire, MI 49111-9480 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884063 | Keesha Mckee | Counselor | 7450 Hochberger Road, Eau Claire, MI 49111 | 2019-07-30 |
| 1699808881 | Intercare Community Health Network | Clinic/Center | 6270 W Main Street, Eau Claire, MI 49111 | 2007-03-14 |
| 1750442034 | Maximino Alfredo Mejia | Dietitian, Registered | 6521 E Main St, Eau Claire, MI 49111-5129 | 2006-12-12 |
| 1780007674 | Opti Health Pllc | Dietitian, Registered | 6521 E Main St, Eau Claire, MI 49111-5129 | 2014-01-28 |
| 1891349668 | Empowher Physical Therapy & Wellness Pllc | Physical Therapist | 2380 Michael Rd, Eau Claire, MI 49111-9630 | 2019-07-30 |
| 1154735132 | Mark Cudanin | Physical Therapist | 6717 Old Pipestone Rd, Eau Claire, MI 49111-9701 | 2014-06-17 |
| 1295038941 | Joyce Edna Andrews-mckinney | Developmental Therapist | 6145 Aubill Dr, Eau Claire, MI 49111-9702 | 2010-12-17 |
| 1528517943 | Taylor Krugh | Student in an Organized Health Care Education/Training Program | 7087 Pipestone Rd, Eau Claire, MI 49111-9723 | 2016-09-27 |
| 1336701119 | Intercare Community Health Network | Counselor | 7450 Hochberger Rd Rm 15a, Eau Claire, MI 49111-9762 | 2019-07-02 |
| 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 |
|---|---|---|---|---|
| 1497205116 | Julie Johnson | Dental Hygienist | 3207 33rd St, Eau Claire, WI 54703-2355 | 2016-10-05 |
| 1497128425 | Katie J Pospishil I | Dental Hygienist | 2518 Pineview Rd, Eau Claire, WI 54703-7302 | 2015-11-13 |
| 1821488271 | Stacy Michelle Anding | Dental Hygienist | 1821 Dorret Rd, Eau Claire, WI 54703-4881 | 2015-01-23 |
| 1154725661 | Pa Xiong Yang | Dental Hygienist | 5512 Stellar Dr, Eau Claire, WI 54703-3799 | 2014-10-13 |
| 1376945683 | Keri Cuddie | Dental Hygienist | 2917 Arnstad Pl, Eau Claire, WI 54703-2642 | 2014-09-17 |
| 1174924138 | Randi Elizabeth Riedel | Dental Hygienist | 1104 E Lexington Blvd, Eau Claire, WI 54701-6430 | 2014-09-09 |
| 1831598184 | Teresa Lynn Myers | Dental Hygienist | 714 E Tyler Ave, Eau Claire, WI 54701-6555 | 2014-08-21 |
| 1285065094 | Michelle Mogensen | Dental Hygienist | 1329 Kane Rd, Eau Claire, WI 54703-9117 | 2013-12-03 |
| 1154754356 | Kari Lyn Chance | Dental Hygienist | 9246 24th Ave, Eau Claire, WI 54703-6373 | 2013-08-12 |
| 1780901090 | Brooke Angela Lieffring | Dental Hygienist | 1018 Regis Ct, Eau Claire, WI 54701-4404 | 2010-04-26 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 49111 |
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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.