MS. BREANNA LORRAINE MCCOY I (NPI# 1245459940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245459940 |
| Entity Type | Individual |
| Full Name | MS. BREANNA LORRAINE MCCOY I |
| Credential | RDH |
| Practice Address |
1100 Southgate Ste 17 Pendleton OR 97801-3971 |
| Mailing Address |
2807 N Depot St La Grande OR 97850-3131 |
| Practice Telephone | 5412761561 |
| Practice Fax Number | 5412765743 |
| Mailing Telephone | 5419638970 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5193 | OR | Dental Providers |
| Street Address |
1100 SOUTHGATE STE 17 |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-3971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649584400 | Medical Center Dental Office, LLC | Clinic/Center | 1100 Southgate Ste 17, Pendleton, OR 97801-3971 | 2010-08-03 |
| 1306078241 | Todd J Oyama | Dentist | 1100 Southgate Ste 17, Pendleton, OR 97801-3971 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| 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 |
|---|---|---|---|---|
| 1568027845 | Tiffany A Legore | Dental Hygienist | 46314 Timine Way, Pendleton, OR 97801-9417 | 2019-05-02 |
| 1164977187 | Marnie Kay Freske | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2016-08-19 |
| 1235682147 | Kaylynne Kuenzi | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2016-07-27 |
| 1356711071 | Kathryn L Evans | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801-9099 | 2015-10-07 |
| 1336485879 | Carley R Chandler | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801-0160 | 2013-01-02 |
| 1679819262 | Keri E Stahancyk | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801-0160 | 2012-12-31 |
| 1285927376 | Natalie Marie Hansen | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801 | 2011-05-23 |
| 1720223316 | Katherine Marie Manning Stahl | Dental Hygienist | 1100 Southgate, Suite 17, Pendleton, OR 97801-3974 | 2008-12-10 |
| 1992807218 | Jennifer Eva Campbell | Dental Hygienist | 73265 Confederated Way, Pendleton, OR 97801 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789439 | Carlin Chung | Dental Hygienist | 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 | 2020-10-30 |
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1366051955 | Tia Glanding | Dental Hygienist | 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 | 2020-07-29 |
| 1396354098 | Sierra Nicole Miller | Dental Hygienist | 2383 Nw Hackamore Ln, Prineville, OR 97754-8011 | 2020-07-28 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1174159453 | Tiffany Bunn | Dental Hygienist | 7313 Ne Imbrie Dr, Hillsboro, OR 97124-7595 | 2020-03-18 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1073144671 | Michelle Yen Nguyen | Dental Hygienist | 15280 Se Baron Loop, Happy Valley, OR 97086-4468 | 2020-02-01 |
| 1265063440 | Megan Diane Hinchcliff | Dental Hygienist | 106 Maple Blvd, Wood Village, OR 97060-1111 | 2020-01-28 |
| 1598305765 | Gisela Zepeda | Dental Hygienist | 5851 Se Chase Rd, Gresham, OR 97080-8282 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.