MS. CAROL JUDITH MCMULLEN (NPI# 1356552624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356552624 |
| Entity Type | Individual |
| Full Name | MS. CAROL JUDITH MCMULLEN |
| Credential | RDHAP |
| Practice Address |
2118 Boundary St San Diego CA 92104 |
| Mailing Address |
2118 Boundary Street San Diego CA 92104 |
| Practice Telephone | 6192825322 |
| Mailing Telephone | 6192825322 |
| Enumeration Date | 2007-05-25 |
| 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 | 168 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL PIN | 523824 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149355 | Carol Mcmullen | Behavior Technician | 1202 Tech Blvd Ste 103, Tampa, FL 33619-7863 | 2020-06-23 |
| Street Address |
2118 BOUNDARY ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| 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 |
|---|---|---|---|---|
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1063011120 | Pamela Ann Reid-williams | Dental Hygienist | 4155 Spillman Dr, San Diego, CA 92105-5207 | 2020-10-20 |
| 1053928986 | Xueyan Yang | Dental Hygienist | 13593 Cantare Trl, San Diego, CA 92130-1305 | 2020-09-24 |
| 1245852110 | Amber D Riley | Dental Hygienist | 2929 Cowley Way Unit G, San Diego, CA 92117-6824 | 2020-05-13 |
| 1013542976 | Sarah Lisabeth St John | Dental Hygienist | 17107 Montura Dr, San Diego, CA 92128-2127 | 2020-03-10 |
| 1053872275 | Erika Hernandez | Dental Hygienist | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 |
| 1952876138 | Kathleen Batenga | Dental Hygienist | 6253 Avenida De Las Vistas Unit 1, San Diego, CA 92154-6619 | 2018-10-03 |
| 1043791403 | Maricruz Barba | Dental Hygienist | 7734 Backer Rd, San Diego, CA 92126-3568 | 2018-08-23 |
| 1053810598 | Tamara Lindley | Dental Hygienist | 18528 Caminito Pasadero, San Diego, CA 92128-1062 | 2018-02-11 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| Find all providers in SAN DIEGO | ||||
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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.