MARYANN DETAR (NPI# 1285234047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285234047 |
| Entity Type | Individual |
| Full Name | MARYANN DETAR |
| Practice Address |
3154 Alum Rock Ave San Jose CA 95127-2903 |
| Practice Telephone | 6692320311 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 26843 | CA | Dental Providers |
| Street Address |
3154 ALUM ROCK AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| 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 |
|---|---|---|---|---|
| 1669900924 | Truc Thanh Tran | Dental Hygienist | 2380 Montpelier Dr Ste 200, San Jose, CA 95116-1620 | 2017-05-31 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1457781320 | Benjamin Mendoza | Dental Hygienist | 2195 Monterey Hwy Ste 30, San Jose, CA 95125-1069 | 2013-11-13 |
| 1003258559 | Phoebe Chenh | Dental Hygienist | 480 Caprice Dr, San Jose, CA 95123-5943 | 2013-07-25 |
| 1053658476 | Debra Barker Kanagaki | Dental Hygienist | 5542 Monterey Hwy # 336, San Jose, CA 95138-1529 | 2013-01-04 |
| 1235489626 | Emerlyn Sangha | Dental Hygienist | 1878 Oakton Court, San Jose, CA 95148 | 2012-09-13 |
| 1417237637 | Deborah Anne Dowrie | Dental Hygienist | 3567 Kilo Ave, San Jose, CA 95124-3143 | 2011-08-18 |
| 1366748683 | Barbara Jeanne Walters | Dental Hygienist | 887 Redbird Dr, San Jose, CA 95125-2824 | 2011-02-03 |
| 1417279928 | Ema Bayani | Dental Hygienist | 6141 Royal Acorn Pl, San Jose, CA 95120-2756 | 2010-02-24 |
| 1083936702 | Yana Yevgenievna Rodriguez | Dental Hygienist | 3594 Payne Ave Apt 9, San Jose, CA 95117-2981 | 2010-02-22 |
| Find all providers in SAN JOSE | ||||
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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.