TYKESHIA ROBERTS (NPI# 1114564325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114564325 |
| Entity Type | Individual |
| Full Name | TYKESHIA ROBERTS |
| Practice Address |
Navy Medicine Support Command Attn: Medical Staff Svcs 2005 Knight Lane Bldg H Jacksonville FL 32212-0140 |
| Practice Telephone | 7607253213 |
| Mailing Telephone | 7607253213 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EDIPI | 1369927759 | 01 |
| Street Address |
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS 2005 KNIGHT LANE BLDG H |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234721 | Lisa Gay Dundas | Dentist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2005-08-31 |
| 1154948867 | Jordan Henke | Dentist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2020-06-29 |
| 1215558887 | Scott M Curtis | Dentist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2020-05-05 |
| 1407489099 | Madeline Dulany Love | Student in an Organized Health Care Education/Training Program | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2020-02-21 |
| 1629616636 | Maria Kiana Rogers | Dental Hygienist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1215574421 | Kevin Jesus Martinez | Dental Assistant | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-06 |
| 1043854771 | Trey Jeremy Coke | Military Health Care Provider | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212 | 2019-11-06 |
| 1134771090 | Sean Young | Dentist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-07-11 |
| 1639730245 | Mary Linh Ta | Dentist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-06-25 |
| 1619461522 | Sara Ann Storer | Dentist | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2018-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574421 | Kevin Jesus Martinez | Dental Assistant | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391540 | Merancia Dezina | Dental Assistant | 1762 Se Aires Ln, Port St Lucie, FL 34984-3757 | 2020-06-17 |
| 1437659943 | Natalie Beville | Dental Assistant | 2404 Nw 244th St, Newberry, FL 32669-2515 | 2018-02-20 |
| 1720536634 | Claudia De Las Mercedes Perez | Dental Assistant | 9870 Sw 223rd Ter, Cutler Bay, FL 33190-1582 | 2016-09-20 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| 1326418179 | Leticia Ruiz Maturana | Dental Assistant | 21380 Sw 244th St, Homestead, FL 33031-3628 | 2015-10-05 |
| 1184032484 | Dr Wigglesworth, Inc. | Dental Assistant | 528 Waterway Village Court, Greenacres, FL 33413-0000 | 2014-07-30 |
| 1356779904 | Jessica Richelle Robatin | Dental Assistant | 300 Sandpiper Ct, Casselberry, FL 32707-4010 | 2013-10-17 |
| 1952674723 | North Miami Beach Dental | Dental Assistant | 2040 Ne 163rd St #206, North Miami Beach, FL 33162 | 2012-02-09 |
| 1467066647 | Savannah Steele | Dental Assistant | 724 Lithia Pinecrest Rd, Brandon, FL 33511-6117 | 2020-09-03 |
| 1295356756 | Argedith Fernandez | Dental Assistant | 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
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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.