TYLER STANLEY (NPI# 1225402431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225402431 |
| Entity Type | Individual |
| Full Name | TYLER STANLEY |
| Practice Address |
1025 W Ironwood Dr St 1 Coeur D Alene ID 83814-3160 |
| Mailing Address |
12321 W Park Ln Post Falls ID 83854-7125 |
| Practice Telephone | 2086672322 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | IL 60428729 | WA | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | DH-3061 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073551347 | Tyler W. Stanley | Physician Assistant | 233 Lyndon St, Hermosa Beach, CA 90254-5164 | 2006-06-02 |
| 1093336208 | Tyler Stanley | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-28 |
| 1528181088 | Tyler M Stanley | Nurse Practitioner | 970 Farmington Ave, Suite 201, West Hartford, CT 06107-2139 | 2007-04-09 |
| Street Address |
1025 W IRONWOOD DR ST 1 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922739 | Charlene R Stoddard | Chiropractor | 1025 W Ironwood Dr, Ste 2, Coeur D Alene, ID 83814-3161 | 2005-06-20 |
| 1730551516 | Tana Lynn Vesser | Nurse Practitioner | 1025 W Ironwood Dr, Coeur D Alene, ID 83814-3160 | 2015-10-20 |
| 1922431360 | Coeur D Alene Primary Care Pllc | Physician Assistant | 1025 W Ironwood Dr, Coeur D Alene, ID 83814-3160 | 2013-08-20 |
| 1114051547 | James J Lee | Dentist | 1025 W Ironwood Dr, Suite 1, Coeur D Alene, ID 83814-3160 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1043515042 | Jamie Goodwin | Dental Hygienist | 1800 Lincoln Way, Coeur D Alene, ID 83814-2570 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898578 | Michelle Ann Watkins | Dental Hygienist | 721 Northstar Dr, Hailey, ID 83333-8501 | 2020-07-07 |
| 1124644364 | Teena Barnes | Dental Hygienist | 3915 E 154 N, Rigby, ID 83442-5727 | 2020-06-23 |
| 1467966499 | Melanie Hill | Dental Hygienist | 550 W Sunnyside Rd Ste 7, Idaho Falls, ID 83402-4642 | 2017-11-29 |
| 1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
| 1427589936 | Jamie Rowe | Dental Hygienist | 581 N Whitewater Park Blvd Apt D202, Boise, ID 83702-5689 | 2017-03-26 |
| 1104207216 | Caring Smiles Pllc | Dental Hygienist | 8744 W. Fairview Ave, Boise, ID 83704 | 2015-06-15 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1790916476 | Thressa K. Fogleman | Dental Hygienist | 2355 American Legion Blvd, Mountain Home, ID 83647-3145 | 2009-07-29 |
| 1053563619 | Kellie Renee Bergendahl | Dental Hygienist | 427 12th St, Plummer, ID 83851-4000 | 2008-10-15 |
| 1972720936 | Idaho State University | Dental Hygienist | 999 Martin Luther King Jr. Way, Pocatello, ID 83209-8048 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.