PAMELA D ICHIYASU (NPI# 1104246875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104246875 |
| Entity Type | Individual |
| Full Name | PAMELA D ICHIYASU |
| Credential | R. D. H. |
| Practice Address |
5031 S Ulster St Suite 100 Denver CO 80237-2804 |
| Mailing Address |
1511 Beacon Hill Dr Highlands Ranch CO 80126-4268 |
| Practice Telephone | 3037798587 |
| Practice Fax Number | 3037799182 |
| Mailing Telephone | 3033784977 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 906146 | CO | Dental Providers |
| Street Address |
5031 S ULSTER ST SUITE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80237-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609832039 | Gregory Evan Wolgin | Chiropractor | 5031 S Ulster St, Denver, CO 80237-2804 | 2006-04-25 |
| 1982001574 | Erin Roberta Allen | Counselor | 5031 S Ulster St, 200, Denver, CO 80237-2804 | 2014-11-25 |
| 1992081533 | Joan Burgess Winfrey-wells | Clinical Neuropsychologist | 5031 S Ulster St, #307, Denver, CO 80237-2804 | 2011-10-27 |
| 1619289105 | Deanna Helaine Snitzer | Dentist | 5031 S Ulster St, Suite 100, Denver, CO 80237-2804 | 2010-07-13 |
| 1003057191 | Graham Reinhardt | Chiropractor | 5031 S Ulster St, Denver, CO 80237-2804 | 2009-03-18 |
| 1831335975 | Thane Kraut | Specialist | 5031 S Ulster St, Suite 215, Denver, CO 80237-2804 | 2008-12-19 |
| 1861669509 | Kelly Renne Curnalia | Social Worker | 5031 S Ulster St, Suite 200, Denver, CO 80237-2804 | 2008-05-12 |
| 1013197136 | Bio-logix LLC | Chiropractor | 5031 S Ulster St, 130, Denver, CO 80237-2804 | 2007-11-06 |
| 1508900911 | Thomas Wesley Welch | Psychologist | 5031 S Ulster St, Suite 370, Denver, CO 80237-2804 | 2007-02-18 |
| 1538237516 | Donald Langley | Dentist | 5031 S Ulster St, Suite 100, Denver, CO 80237-2804 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386490 | Bridget Joy Roggow | Behavior Technician | Technology Way Apt 301, Denver, CO 80237 | 2020-08-14 |
| 1366085292 | Espire Dental Practice, LLC | Dentist | 8080 E Union Ave #140, Denver, CO 80237 | 2019-10-23 |
| 1861935512 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2510 S Flower St, Lakewood, CO 80237 | 2016-11-29 |
| 1144637372 | Robert Harling Di Carlo | Anesthesiology | 4083 So Wisteria Wy, Denver, CO 80237 | 2014-07-21 |
| 1750793386 | Jonathan Bautista | Physical Therapist | 8000 E Quincy Ave #1700, Sarahcare At Dtc, Denver, CO 80237 | 2014-06-02 |
| 1053740571 | Minjae An | Psychiatric Residential Treatment Facility | 4500 S Monaco Street Apt.1624, Denver, CO 80237 | 2013-11-05 |
| 1902240658 | Peter Nicholas Maniatis | Dentist | 4545 So. Monaco St., #444, Denver, CO 80237 | 2013-04-24 |
| 1114277480 | Logan Halliburton | Pharmacist | 8330 E Quincy Ave, A-309, Denver, CO 80237 | 2012-09-14 |
| 1770832016 | Healthpath, LLC | Clinic/Center | 3545 S. Tamarac Dr, Suite 170, Denver, CO 80237 | 2012-08-31 |
| 1790033322 | Seana B Medina | Acupuncturist | 3545 S Tamarac Dr., Ste #170, Denver, CO 80237 | 2012-08-29 |
| Find all providers in zip 80237 | ||||
| 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 |
|---|---|---|---|---|
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1043853823 | Hanh Le | Dental Hygienist | 9250 E Hampden Ave Ste 150, Denver, CO 80231-5413 | 2019-10-23 |
| 1467018812 | Kylee Martin | Dental Hygienist | 3550 W 38th Ave Ste 50, Denver, CO 80211-2000 | 2019-05-10 |
| 1760940647 | Paige Melissa Mcevoy | Dental Hygienist | 1062 Akron Way Bldg 753, Denver, CO 80230-7102 | 2019-03-09 |
| 1972079010 | Laurine Stainbrook | Dental Hygienist | 1100 Federal Blvd # Mc3000, Denver, CO 80204-3219 | 2018-10-16 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1164920666 | Gissel Garcia | Dental Hygienist | 7895 Elder Cir, Denver, CO 80221-4026 | 2018-01-30 |
| 1396253068 | Pareesa Ariana Goshtasebi | Dental Hygienist | 4956 Knox Ct, Denver, CO 80221-1134 | 2018-01-16 |
| 1578081865 | Alexandra Lauren Griffith | Dental Hygienist | 1800 15th St Ste 100, Denver, CO 80202-7134 | 2017-09-06 |
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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.