MRS. CELIA KEISLING CLARK (NPI# 1053594796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053594796 |
| Entity Type | Individual |
| Full Name | MRS. CELIA KEISLING CLARK |
| Credential | RDH |
| Practice Address |
55 Camino San Juan Ridgway CO 81432-9637 |
| Practice Telephone | 9706264396 |
| Mailing Telephone | 9706264396 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2015-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2506 | CO | Dental Providers |
| Street Address |
55 CAMINO SAN JUAN |
| City | RIDGWAY |
| State | CO |
| Zip Code | 81432-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009391 | Mindfulness Based Interventions LLC | Clinic/Center | 640 Sherman St., Unit H, Ridgway, CO 81432 | 2020-09-29 |
| 1760033930 | Mindfulness Based Interventions LLC | Clinic/Center | 255 Hunter Parkway, Ridgway, CO 81432 | 2019-09-27 |
| 1679067490 | Mindfulness Based Interventions LLC | Clinic/Center | 380 Sherman St, Ridgway, CO 81432 | 2018-06-15 |
| 1578050423 | Apotheca LLC | Pharmacy | 171 N. Cora St., Suite 100, Ridgway, CO 81432 | 2018-04-17 |
| 1225419781 | Sarah Kelley-spearing | Family Medicine | Rocky Mountain Integrative Medicine, 160 S. Amelia St., Ridgway, CO 81432 | 2015-06-10 |
| 1427456490 | Source Counseling | Community/Behavioral Health | 177 Sherman Street #101, Balance Natural Medicine, Ridgway, CO 81432 | 2014-12-08 |
| 1780088559 | Access To Wellness LLC | Clinic/Center | 620 Tabernash Lane - Or -, 640 Sherman St. #j, Ridgway, CO 81432 | 2014-10-22 |
| 1538436043 | Lindsay Hepp | Contractor | 605 River Park Dr., Ridgway, CO 81432 | 2011-11-29 |
| 1699924415 | James Philip Kornberg | Preventive Medicine | 12665 Highway 62, Ridgway, CO 81432 | 2008-09-17 |
| 1164671277 | Hope G. Coulter | Midwife | 259 S Charlotte St, Ridgway, CO 81432 | 2008-09-12 |
| Find all providers in zip 81432 | ||||
| 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 |
|---|---|---|---|---|
| 1194326900 | Kassidee N Ficken | Dental Hygienist | 6671 Highway 36, Joes, CO 80822 | 2020-11-06 |
| 1932708302 | Andrea Viger | Dental Hygienist | 4167 Clifton Ct, Boulder, CO 80301-1712 | 2020-10-18 |
| 1841803657 | Tanara Dawn Block | Dental Hygienist | 1325 Hover St Ste 201, Longmont, CO 80501-3176 | 2020-08-31 |
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1841801032 | Ashley Lindsey | Dental Hygienist | 87 Merchant Dr # Usa, Montrose, CO 81401-3015 | 2020-08-12 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1962028464 | Sarah Jane Tanner | Dental Hygienist | 1190 Everett Ct, Lakewood, CO 80215-4829 | 2020-06-19 |
| 1578186060 | Lacie Overman | Dental Hygienist | 360 Peak One Dr # 100, Frisco, CO 80443-5948 | 2020-05-19 |
| 1811518095 | Victoria Lynn Wilk | Dental Hygienist | 10186 Highland Meadow Cir Apt 33-205, Parker, CO 80134-9481 | 2020-04-29 |
| 1912526351 | Janet Karen Madrid | Dental Hygienist | 4023 Stampede Dr, Castle Rock, CO 80104-7849 | 2020-04-15 |
| 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.