JORGE ISRAEL FELIX RODRIGUEZ (NPI# 1013435320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013435320 |
| Entity Type | Individual |
| Full Name | JORGE ISRAEL FELIX RODRIGUEZ |
| Practice Address |
1 Boone Rd Bremerton WA 98312-1894 |
| Practice Telephone | 3604754455 |
| Practice Fax Number | 8665021901 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
1 BOONE RD |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829548 | Jeffrey Steven Martens | Pediatrics | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-05-31 |
| 1871106039 | Matthew Raymond Wasilewski | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-08-27 |
| 1124637269 | Jason D Balazs | Nurse Anesthetist, Certified Registered | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-07-24 |
| 1649893769 | Joy Marie Abonitalla Bautista | Registered Nurse | 1 Boone Rd, Bremerton, WA 98312-1894 | 2020-05-22 |
| 1710511027 | Brad Levi Okeefe | Nurse Practitioner | 1 Boone Rd, Bremerton, WA 98312-1898 | 2020-02-25 |
| 1659914091 | Caitlin Sleight | Psychologist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-10-17 |
| 1477194603 | Nicholas Kovacevic | Dentist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2019-09-29 |
| 1023576295 | Jennifer Danielle Squazza | Advanced Practice Midwife | 1 Boone Rd, Bremerton, WA 98312-1898 | 2019-03-06 |
| 1538654348 | Ashley Simpson | Dentist | 1 Boone Rd, Bremerton, WA 98312-1898 | 2018-06-25 |
| 1619481280 | Victor Roger Chu | Pharmacist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485549 | Lionel Espinoza | Dental Assistant | 1 Boone Road, Bremerton, WA 98312 | 2017-08-30 |
| 1457879454 | Michael Gene Richards | Dental Assistant | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-08-30 |
| 1003331174 | Michael Nikolay Berezhkov | Dental Assistant | 1 Boone Rd, Bremerton, WA 98312-1894 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
| 1932726049 | Usama Al Saedi | Dental Assistant | 1421 Nw 85th St Apt 110, Seattle, WA 98117-4298 | 2020-07-06 |
| 1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
| 1932747961 | Riley Whipple | Dental Assistant | 1401 S 45th Ave, West Richland, WA 99353-7904 | 2019-12-20 |
| 1700423274 | Beenish Farooq | Dental Assistant | 10710 Ne 10th St Apt 1702, Bellevue, WA 98004-1068 | 2019-12-04 |
| 1881241206 | Adena Suen Mangkornkeo | Dental Assistant | 14827 80th Ave Se, Snohomish, WA 98296-8407 | 2019-08-21 |
| 1043864127 | Traci Guan | Dental Assistant | 2027 196th St Sw Ste R1, Lynnwood, WA 98036-7073 | 2019-07-28 |
| 1316408578 | Moises Cerecedo Rios | Dental Assistant | 512 5th Ave W Apt 6, Seattle, WA 98119-3944 | 2019-03-28 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1134615735 | Ronda Mechelle Pugaczewski | Dental Assistant | 12621 164th St E, Puyallup, WA 98374-9523 | 2018-07-06 |
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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.