AMY R. TART (NPI# 1083987556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083987556 |
| Entity Type | Individual |
| Full Name | AMY R. TART |
| Practice Address |
4058 Willows Rd Alpine CA 91901-1668 |
| Mailing Address |
1910 Tavern Rd Alpine CA 91901-3126 |
| Practice Telephone | 6194451188 |
| Mailing Telephone | 6197221270 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 7055 | NC | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 21818 | CA | Dental Providers |
| Street Address |
4058 WILLOWS RD |
| City | ALPINE |
| State | CA |
| Zip Code | 91901-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247947 | Southern Indian Health Council Inc | Clinic/Center | 4058 Willows Rd, Alpine, CA 91901-1668 | 2005-06-28 |
| 1073126884 | Lacey Danielle Armstrong | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2020-08-31 |
| 1114496114 | Amy Rose Cochran | Dietitian, Registered | 4058 Willows Rd, Alpine, CA 91901-1668 | 2018-11-19 |
| 1780192823 | Maly Vilichay Quinto | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2018-01-10 |
| 1750818274 | Gavva Ranadhir Ram Reddy | Family Medicine | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-05-15 |
| 1588190326 | Ashley Holt | Dietitian, Registered | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-05-11 |
| 1033650668 | Tami Mason | Marriage & Family Therapist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-03-15 |
| 1205377306 | Jordan Jones | Physician Assistant | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-03-09 |
| 1801345178 | Cindy Jones | Marriage & Family Therapist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2016-09-28 |
| 1174919971 | Peter Murray Baum | Family Medicine | 4058 Willows Rd, Alpine, CA 91901 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381302 | Mary Allison Redden | Registered Nurse | 1730 Alpine Blvd, Alpine, CA 91901 | 2017-08-14 |
| 1801332317 | Christine Angela Myers | Registered Nurse | 2003 Via Del Torrie, Alpine, CA 91901 | 2017-01-09 |
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1407136161 | Myrna Apura Mayer | Massage Therapist | 2754 Alpine Blvd., Alpine, CA 91901 | 2011-08-25 |
| 1578716148 | Alpine Dentistry | Dentist | 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 | 2008-10-28 |
| 1295915064 | Jessica Lynne Fonte | Counselor | 2120 Alpine Blvd., Alpine Special Treatment Center, Alpine, CA 91901 | 2007-11-09 |
| 1740487008 | Elite Hospital Care, Inc | Internal Medicine | 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 | 2007-06-29 |
| 1780706028 | Martin Gorence | Pharmacist | 1665 Alpine Bld, Alpine, CA 91901 | 2007-04-06 |
| 1720100902 | Diane Eugenia Janssen | Marriage & Family Therapist | 2065 Alpine Blvd, Ste 3, Alpine, CA 91901 | 2007-04-06 |
| Find all providers in zip 91901 | ||||
| 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 |
|---|---|---|---|---|
| 1346626199 | Jenny Chen | Dental Hygienist | 4058 Willows Road, Alpine, CA 91901 | 2015-08-04 |
| 1073126884 | Lacey Danielle Armstrong | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2020-08-31 |
| 1780192823 | Maly Vilichay Quinto | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2018-01-10 |
| 1518230044 | Diane Marie Davis | Dental Hygienist | 4058 Willows Rd, Alpine, CA 91901-1668 | 2012-02-14 |
| 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 | ||||
Please comment or provide details below to improve the information on AMY R. TART.
| 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.