AGNES BAUTISTA BANIAS (NPI# 1205188307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205188307 |
| Entity Type | Individual |
| Full Name | AGNES BAUTISTA BANIAS |
| Credential | RDH |
| Practice Address |
1647 Admiral Taussig Blvd Br Health Clinic Naval Medical Center Portsmouth Norfolk VA 23511 |
| Practice Telephone | 7579537011 |
| Mailing Telephone | 7579537011 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 8471 | NC | Dental Providers |
| Street Address |
1647 ADMIRAL TAUSSIG BLVD BR HEALTH CLINIC NAVAL MEDICAL CENTER PORTSMOUTH |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| 1508020488 | Jeffrey L Hockett | Dentist | Bdc Norfolk, Dept. of Endodontics, 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-07-10 |
| Find all providers in zip 23511 | ||||
| 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 |
|---|---|---|---|---|
| 1538519194 | Edward Zimbelman Jr. | Dental Hygienist | 146 W Seaview Ave, Norfolk, VA 23503-2957 | 2016-06-15 |
| 1043695430 | Arlynndria Wokeme | Dental Hygienist | 3844 Davis St, Norfolk, VA 23513-4223 | 2015-07-27 |
| 1508293846 | Kalynda Kuhl | Dental Hygienist | 3103 Mach 1 Dr, Norfolk, NE 68701-3094 | 2013-10-01 |
| 1972725794 | Jacqueline B Moran | Dental Hygienist | 1627 Adfmiral Taussig Blvd., Norfolk, VA 23511 | 2007-05-02 |
| 1174659254 | Jennifer Joan Tracey | Dental Hygienist | 1154 Porter Rd, Norfolk, VA 23511-1214 | 2007-02-26 |
| 1720166622 | Yolanda Octavia Mann | Dental Hygienist | Uss George Washington Cvn-73 Box 66, Fpo Ae 09550, Norfolk, VA 23501-0066 | 2006-11-01 |
| 1033201736 | Mary Jo-anne Guinto | Dental Hygienist | Uss Theodore Roosevelt Cvn-71, Dental Department Fpo Ae 09599, Norfolk, VA 09599-2871 | 2006-09-29 |
| 1700843547 | Teckolar Seals | Dental Hygienist | 1530 Gilbert St, Norfolk, VA 23511-2730 | 2006-04-26 |
| 1487625356 | Hollie Elizabeth Mccoy | Dental Hygienist | Branch Health Clinic,naval Amphibious Base,little Creek, 1035 Nider Blvd, Suite 100, Norfolk, VA 23521-2731 | 2006-01-30 |
| 1871585448 | Tiffany A Jones | Dental Hygienist | Uss John F. Kennedy Cv-67, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2005-08-18 |
| Find all providers in NORFOLK | ||||
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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.