MR. MARK KEKOA VALDEZ (NPI# 1144671652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144671652 |
| Entity Type | Individual |
| Full Name | MR. MARK KEKOA VALDEZ |
| Practice Address |
Us Army Dental Activity 4431 68th Street Fort Hood TX 76544 |
| Mailing Address |
Bldg 39033 Support Ave Ft, Hood Tx Apo AA 76544 |
| Practice Telephone | 2542872705 |
| Mailing Telephone | 8084301508 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | DENTAL HYGIENIST | H01098950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598978587 | Mark C Valdez | Military Health Care Provider | 34101 Farenholt Ave, San Diego, CA 92134 | 2007-05-07 |
| Street Address |
US ARMY DENTAL ACTIVITY 4431 68TH STREET |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| 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 |
|---|---|---|---|---|
| 1962853481 | Oxana Kim Sutalo | Dental Assistant | 4431 68th St., Us Army Dental Activity, Fort Hood, TX 76544 | 2016-06-27 |
| 1679907786 | Heather Hartley Collins | Dental Assistant | 48168 King St, Fort Hood, TX 76544-1748 | 2013-08-26 |
| 1225585797 | Crystal Williams | Dental Assistant | Bldg #9440 Battalion Ave, Fort Hood, TX 76544 | 2016-09-01 |
| 1588015838 | Cynthia Wharton | Dental Assistant | 4431 68th St, Fort Hood, TX 76544-5042 | 2016-06-28 |
| 1528417771 | Gina Alas | Dental Assistant | 4431 68th St, Us Army Dental Activity, Fort Hood, TX 76544-5042 | 2016-06-08 |
| 1356790638 | Barbara Tamares | Dental Assistant | 4431 68th St, Fort Hood, TX 76544-5042 | 2016-06-08 |
| 1326497686 | Rosa Angela Garcia | Dental Assistant | 4431 68th St, Fort Hood, TX 76544-5042 | 2016-06-08 |
| 1922457290 | Gladys L Perea | Dental Assistant | 4431 68th St, Fort Hood, TX 76544-5042 | 2016-06-08 |
| 1356790505 | Daisha Hubbard | Dental Assistant | 4431 68th St, Us Army Dental Activity, Fort Hood, TX 76544-5042 | 2016-06-08 |
| 1699124867 | Nicki Lynn Losa | Dental Assistant | 4431 68th St, Fort Hood, TX 76544-5042 | 2016-06-08 |
| Find all providers in FORT HOOD | ||||
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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.