JESSICA LAUREN BLACK (NPI# 1104187764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104187764 |
Entity Type | Individual |
Full Name | JESSICA LAUREN BLACK |
Credential | RDH |
Practice Address |
1413 Gold Buckle Ct Redlands CA 92374-2790 |
Practice Telephone | 9099041891 |
Mailing Telephone | 9099041891 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 24820 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
1417580234 | Jessica Black | Technician | 640 May St, Harlan, KY 40831-1628 | 2020-02-20 |
1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
1851894547 | Jessica J Black | Psychologist | 225 Humphrey Rd Ste 4, Greensburg, PA 15601-4571 | 2018-03-09 |
1619482569 | Jessica Ann Black | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1, Wasilla, AK 99654-7271 | 2017-12-13 |
1366676439 | Jessica Donze Black | Dietitian, Registered | 230 N Granada St, Arlington, VA 22203-1322 | 2009-05-05 |
1134305337 | Jessica K Black | Naturopath | 330 Se Baker St, Unit 3, Mcminnville, OR 97128-6038 | 2008-01-17 |
1336102607 | Jessica Anne Black | Occupational Therapist | 9302 N Meridian St Ste 190, Indianapolis, IN 46260-1818 | 2006-04-08 |
1902403488 | Jessica Laurel Black | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Cleveland, OH 44118-4897 | 2020-10-07 |
1619529500 | Jessica Dawn Black | Counselor | 1576 S 500 W, Suite 102, Bountiful, UT 84010 | 2019-07-11 |
Street Address |
1413 GOLD BUCKLE CT |
City | REDLANDS |
State | CA |
Zip Code | 92374-2790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
1053855783 | Caroline Daravi | Psychologist | 1706 Plum Lane #110, Redland, CA 92374 | 2016-12-14 |
1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
Find all providers in zip 92374 |
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 |
---|---|---|---|---|
1467934125 | Florence St Peter | Dental Hygienist | 112 Morningside Ln, Redlands, CA 92374-5512 | 2018-08-29 |
1295067916 | Sunhae Shin | Dental Hygienist | 1138 Orange St, Redlands, CA 92374-3219 | 2010-02-04 |
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.