MRS. KATHRYN RUTH KOCOS (NPI# 1336372184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336372184 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN RUTH KOCOS |
| Other Name | MS. KATHRYN RUTH LUTZE |
| Credential | R.D.H. |
| Practice Address |
2025 N Pebblecreek Pkwy Suite A-11 Goodyear AZ 85395 |
| Mailing Address |
13706 W Bell Rd Ste 2 Surprise AZ 85314 |
| Practice Telephone | 6232149979 |
| Practice Fax Number | 6239350774 |
| Mailing Telephone | 6235849910 |
| Mailing Fax Number | 6235849940 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5360 | AZ | Dental Providers |
| Street Address |
2025 N PEBBLECREEK PKWY SUITE A-11 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477763043 | Robin Paul Lenaker Jr. | Dentist | 2025 N Pebblecreek Pkwy, Suite A-11, Goodyear, AZ 85395 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1730598384 | Lisa Curry | Dental Hygienist | 4226 N 157th Ave, Goodyear, AZ 85395-7797 | 2014-08-07 |
| 1740699396 | The Floss Drs, LLC | Dental Hygienist | 4226 N 157th Ave, Goodyear, AZ 85395-7797 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096085 | Jerry Lee Collins Jr. | Dental Hygienist | 5205 E Cortland Blvd, Flagstaff, AZ 86004-9362 | 2020-09-03 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1093328437 | Ryan M Fisher | Dental Hygienist | 3300 S Gila Dr Apt 1, Flagstaff, AZ 86005-6537 | 2020-08-25 |
| 1609484369 | Sarah Lewallen | Dental Hygienist | 14804 N Cave Creek Rd # 105, Phoenix, AZ 85032-4945 | 2020-07-20 |
| 1033735402 | Denise Muesch Helm | Dental Hygienist | 1320 S Hilltop Ln, Cornville, AZ 86325-5143 | 2020-06-22 |
| 1134786726 | Lisa Dawn Russo | Dental Hygienist | 2855 E Blackhawk Ct, Gilbert, AZ 85298-1003 | 2019-05-20 |
| 1093274466 | Sarah Carter | Dental Hygienist | 801 N Wilmot Rd Ste B1, Tucson, AZ 85711-1708 | 2019-03-15 |
| 1679042378 | Jessica Marie Florez | Dental Hygienist | 12425 W Bell Rd Ste 120, Surprise, AZ 85378-9022 | 2018-11-26 |
| 1467921478 | Amy M Fulps | Dental Hygienist | 235 W Catalina Dr, Safford, AZ 85546-2537 | 2018-11-19 |
| 1649765868 | Kaitlyn April Ornelas | Dental Hygienist | 228 London Bridge Rd, Lake Havasu City, AZ 86403-4685 | 2018-06-29 |
| 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.