SUSAN BOWLES (NPI# 1043702475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043702475 |
| Entity Type | Individual |
| Full Name | SUSAN BOWLES |
| Credential | RDH |
| Practice Address |
101 West Coast Rd. Redway CA 95560-0769 |
| Mailing Address |
Po Box 769 Redway CA 95560-0769 |
| Practice Telephone | 7079234313 |
| Practice Fax Number | 7079232590 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 21385 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1235206087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717705 | Susan Marie Bowles | Clinical Nurse Specialist | 83 W Miller St, Orlando, FL 32806-2031 | 2019-12-19 |
| 1275666976 | Susan Justice Bowles | Pharmacist | 2014 Highway 45 North, Meridian, MS 39301 | 2007-03-13 |
| Street Address |
101 WEST COAST RD. |
| City | REDWAY |
| State | CA |
| Zip Code | 95560-0769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053305 | Philip Scheel | Family Medicine | 101 West Coast Rd., Redway, CA 95560-0769 | 2006-05-23 |
| 1447719869 | Natalie Goltz | Dental Hygienist | 101 West Coast Rd., Redway, CA 95560-9556 | 2019-03-15 |
| 1487112561 | Kelly Noble | Marriage & Family Therapist | 101 West Coast Rd., Redway, CA 95560-9556 | 2019-03-07 |
| 1841735263 | Katherine Allen | Marriage & Family Therapist | 101 West Coast Rd., Redway, CA 95560-0769 | 2016-12-20 |
| 1629529557 | Robin Leah Barnes | General Practice | 101 West Coast Rd., Redway, CA 95560-2110 | 2016-10-15 |
| 1790964336 | Juliet Karen Hegdal | Nurse Practitioner | 101 West Coast Rd., Redway, CA 95560-0769 | 2007-10-31 |
| 1215151618 | Lorraine Prisbrey | Dentist | 101 West Coast Rd., Redway, CA 95560-0769 | 2007-04-13 |
| 1386771905 | Judy Hulbert-anderson | Dentist | 101 West Coast Rd., Redway, CA 95560-0769 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790222479 | Kelly Ward | Dental Hygienist | 101 West Coast Road Suite A, Redway, CA 95560 | 2017-01-19 |
| 1093965725 | Pearl Mcginley | Acupuncturist | 3168 Redwood Dr, Redway, CA 95560 | 2008-09-30 |
| 1023290301 | Blake Jerome Olson | Dentist | 101 Westcoast Rd., Redway, CA 95560 | 2007-11-29 |
| 1699803262 | Frank J. Di Bari | Dentist | 76 Briceland Road, Redway, CA 95560 | 2007-03-02 |
| 1700950276 | Maryanne Riley | Nurse Practitioner | 101 Westcoast Rd, Redway, CA 95560 | 2006-11-17 |
| 1689748147 | Marilyn Lee Foote | Social Worker | 101 West Coast Rd, Redway, CA 95560 | 2006-11-17 |
| 1447324900 | Kathleen Louise Hartje | Acupuncturist | 101 Westcoast Road, Redway, CA 95560 | 2006-11-17 |
| 1689764136 | Matthew R Winkle | Dentist | 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560 | 2006-10-13 |
| 1235220542 | Richard Linn | Dentist | 355 Briceland Road, Redway, CA 95560 | 2006-09-28 |
| 1093717019 | Steve A Norton | Dentist | 76 Briceland Rd, Redway, CA 95560 | 2005-08-10 |
| Find all providers in zip 95560 | ||||
| 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 |
|---|---|---|---|---|
| 1790222479 | Kelly Ward | Dental Hygienist | 101 West Coast Road Suite A, Redway, CA 95560 | 2017-01-19 |
| 1447719869 | Natalie Goltz | Dental Hygienist | 101 West Coast Rd., Redway, CA 95560-9556 | 2019-03-15 |
| 1780916429 | James G Paige | Dental Hygienist | 101 Westcoast Rd, Redway, CA 95560-0769 | 2010-02-05 |
| 1124242888 | Megan Mccormack | Dental Hygienist | 101 West Coast Rd, Redway, CA 95560 | 2007-04-12 |
| 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.