DR. ASHLEY TRACZEWITZ ROACH (NPI# 1114974292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114974292 |
| Entity Type | Individual |
| Full Name | DR. ASHLEY TRACZEWITZ ROACH |
| Credential | D.M.D. |
| Practice Address |
500 Foothill Blvd Dental Service (160) Salt Lake City UT 84148-0001 |
| Practice Telephone | 8015841206 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2074 | HI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669947263 | Ashley Arianna Roach | Behavioral Analyst | 21600 Oxnard St Ste 1809, Woodland Hills, CA 91367-4976 | 2018-10-10 |
| 1932746617 | Ashley Roach | Pharmacist | 304 E State St, Alliance, OH 44601-4938 | 2019-12-02 |
| 1497396055 | Ashley W Roach | Case Manager/Care Coordinator | 2624 Lexington Ave, Springfield, OH 45505-2620 | 2019-10-04 |
| Street Address |
500 FOOTHILL BLVD DENTAL SERVICE (160) |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547646 | Terri Evans | Pharmacist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2005-06-02 |
| 1841818325 | Abigale Briscoe | Pharmacist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-07-10 |
| 1053947804 | Channing Jovi Cochran | Psychologist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-03-12 |
| 1972138337 | Ryan Scott | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-03-05 |
| 1932756319 | Christine Rosner | Psychologist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2019-08-21 |
| 1770137994 | Courtney Sedillo | Nurse Practitioner | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2019-07-25 |
| 1942866991 | Erika Jill Smith | Dietitian, Registered | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2019-05-15 |
| 1629548854 | Nicole Legarreta | Social Worker | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2018-11-30 |
| 1780159269 | Jill Henningfeld | Nurse Practitioner | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2018-10-10 |
| 1275010035 | Leigh-andrew Thomas Sampson-seitz | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| 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 |
|---|---|---|---|---|
| 1295335404 | Ida Nourbakhsh | Dentist | 1947 E Redondo Ave, Salt Lake City, UT 84108-3119 | 2020-10-27 |
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1710450655 | Kelly D. Carroll D.d.s., PC | Dentist | 2114 E Fort Union Blvd, Salt Lake City, UT 84121-3142 | 2019-01-03 |
| 1730667031 | Hm Salt Lake | Dentist | 7138 S Highland Dr Ste 214, Salt Lake City, UT 84121-3783 | 2018-07-30 |
| 1316430721 | Kyle Perkins | Dentist | 268 W 400 S, Salt Lake City, UT 84101-1831 | 2018-06-11 |
| 1730634353 | Kyle J Baldwin | Dentist | 4046 S Highland Dr, Ste #113, Salt Lake City, UT 84124-1673 | 2016-08-24 |
| 1780047670 | Dane Parke Mullinax | Dentist | 831 S 700 E, Salt Lake City, UT 84102-3505 | 2016-03-30 |
| 1396105425 | Michael Lee Vanleeuwen | Dentist | 6936 S Promenade Dr Ste 201, Salt Lake City, UT 84121-3365 | 2016-03-02 |
| 1831555168 | Smile Dental Studio PC | Dentist | 1400 S Foothill Dr, Ste #36, Salt Lake City, UT 84108-2392 | 2015-12-31 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84148 |
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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.