TRACEY KING (NPI# 1164055125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164055125 |
| Entity Type | Individual |
| Full Name | TRACEY KING |
| Practice Address |
12617 Waldorf Dr Lynwood CA 90262-5233 |
| Practice Telephone | 3236907853 |
| Mailing Telephone | 3236907853 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1174008254 | Tracey Colleen King | Social Worker | 92 Pleasant St, Northborough, MA 01532-1842 | 2018-09-25 |
| 1528590759 | Tracey King | Occupational Therapist | 50 Craggenmore Rd, Pittsboro, NC 27312 | 2017-03-28 |
| 1669805917 | Tracey King | Licensed Practical Nurse | 80 Wilson Ave, Medford, NY 11763-1095 | 2013-08-09 |
| 1093084048 | Tracey A King | Licensed Practical Nurse | 38 S 31st St, Wyandanch, NY 11798-3604 | 2011-12-21 |
| 1033567391 | Tracey D King | Counselor | 774 Albany St, Boston, MA 02118-2520 | 2016-05-27 |
| 1962725879 | Tracey Lynette King | Physical Therapist | 3790 Via De La Valle, Suite 205 and 206, Del Mar, CA 92014-4247 | 2010-03-05 |
| Street Address |
12617 WALDORF DR |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| 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 |
|---|---|---|---|---|
| 1467971937 | Paola Ruby Trejo | Dental Assistant | 3951 Agnes Ave Unit B, Lynwood, CA 90262-4418 | 2017-09-15 |
| 1588199178 | Sonia Siguenza | Dental Assistant | 11362 Louise Ave, Lynwood, CA 90262-3114 | 2017-04-21 |
| 1700254224 | Gabriela Esquivel | Dental Assistant | 3133 Poplar Dr, Lynwood, CA 90262-2409 | 2015-09-15 |
| 1629314281 | Gabriela Cristina Mendoza | Dental Assistant | 9910 Long Beach Blvd Ste A, Lynwood, CA 90262-1561 | 2012-12-28 |
| 1629215710 | Mayra Aceves | Dental Assistant | 11144 Carson Dr, Lynwood, CA 90262-2770 | 2009-01-12 |
| 1861038713 | Isaiah Darian Vasquez | Dental Assistant | 9910 Long Beach Blvd Ste A, Lynwood, CA 90262-1561 | 2019-11-25 |
| 1922542265 | Carla Perkins | Dental Assistant | 9910 Long Beach Blvd, Suite A, Lynwood, CA 90262-1561 | 2016-12-06 |
| 1659718484 | Nellie M Acevedo | Dental Assistant | 9910 Long Beach Blvd Ste A, Lynwood, CA 90262-1561 | 2013-06-03 |
| 1730425398 | Angelica Y Jones | Dental Assistant | 9910 Long Beach Blvd Ste A, Lynwood, CA 90262-1561 | 2012-12-28 |
| 1801112164 | Salvador Cruz | Dental Assistant | 9910 Long Beach Blvd, Lynwood, CA 90262-1561 | 2010-04-12 |
| Find all providers in LYNWOOD | ||||
Please comment or provide details below to improve the information on TRACEY KING.
| 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.