KAELY KANTARIS (NPI# 1104225994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104225994 |
| Entity Type | Individual |
| Full Name | KAELY KANTARIS |
| Practice Address |
200 Mercy Circle Attention: Code 00qm Camp Pendleton CA 92055-5191 |
| Practice Telephone | 7607194053 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1000988-15 | WI | Dental Providers |
| Street Address |
200 MERCY CIRCLE ATTENTION: CODE 00QM |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92055-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649255415 | Wayne Thomas Murphy | Preventive Medicine | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2005-12-14 |
| 1679172621 | James Darko Ofori | Military Health Care Provider | 200 Mercy Circle, Pharmacy Department, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1194354662 | Melissa Bruebaker | Military Health Care Provider | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2020-04-06 |
| 1891322269 | Pierce Derico | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2020-03-25 |
| 1871120774 | Rebeca Arias | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2020-03-23 |
| 1871128710 | Angela Christine Lacey | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2020-03-11 |
| 1447800727 | David Singleton | Dentist | 200 Mercy Circle, Camp Pendleton, CA 92055-6527 | 2019-09-18 |
| 1689233470 | Bryce Allen Bowers | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2019-06-06 |
| 1629636477 | Nikolas Brien Gutierrez | General Practice | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2019-06-05 |
| 1518525369 | Elizabeth Helen Shields | Student in an Organized Health Care Education/Training Program | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811410301 | Ricardo J Wassmer Iv | Dentist | Po Box 555221, Camp Pendleton, CA 92055-5221 | 2017-07-17 |
| 1063932937 | Mason L Segura | Dentist | 13th St. At D St., Bldg 1377, Camp Pendleton, CA 92055 | 2017-06-22 |
| 1689121261 | Kyle Livengood | Dentist | 200 Mercy Circle, Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2016-09-01 |
| 1083160741 | Joshua Daniel Evans | Dentist | 14th Street, 13 Adc Bldg. 13128, Camp Pendleton, CA 92055 | 2016-08-31 |
| 1366818965 | Chase Talbot | Dentist | Building 2238, Box #555221, 1st Dental Battalion/ Naval Dental Center, Camp Pendleton, CA 92055-5221 | 2015-08-18 |
| 1326456575 | John Holliday | Dentist | 200 Mercy Cir., Camp Pendleton, CA 92055-5191 | 2014-07-31 |
| 1831526375 | Eric Appelsies | Dentist | 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2013-09-30 |
| 1952655375 | Brooke Terry Ahlstrom | Dentist | H100 Santa Margarita Road Attention: Code 00qm, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2012-11-07 |
| 1235492000 | Brendan Eghtedar | Dentist | 555020 Bldg, #1377, Camp Pendleton, CA 92055-5020 | 2012-06-18 |
| 1275804692 | Yamel A Ramirez | Dentist | 13 Area Dental Clinic, 1st Dental Battalion/naval Dental Center, Camp Pendleton, CA 92055-5221 | 2012-01-17 |
| Find all providers in CAMP PENDLETON | ||||
| City | CAMP PENDLETON |
| Zip Code | 92055 |
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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.