MS. LAURA L JACOB (NPI# 1376182501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376182501 |
| Entity Type | Individual |
| Full Name | MS. LAURA L JACOB |
| Credential | RDH |
| Practice Address |
2795 E Maplewood Ave Centennial CO 80121-2869 |
| Practice Telephone | 3037308896 |
| Mailing Telephone | 3037308896 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 202056 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144427857 | Laura Ann Jacob | Dietitian, Registered | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2007-06-27 |
| Street Address |
2795 E MAPLEWOOD AVE |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80121-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810889 | Pushpa Sunder Mehta | Obstetrics & Gynecology | 5555 E. Pine Court., Greenwood Village, CO 80121 | 2019-03-15 |
| 1346722378 | Michael Bernard Young | Respiratory Therapist, Registered | 2204 E Panama Drive, Centennial, CO 80121 | 2018-09-06 |
| 1235592676 | Stephen Cheung | Student in an Organized Health Care Education/Training Program | 191 E Orchard Rd Ste 200, Littleton, CO 80121 | 2016-04-02 |
| 1962722629 | James Paul Bieneman | Dentist | 6650 S. Vine Street, Suite 220, Centennial, CO 80121 | 2010-06-04 |
| 1033349774 | Matthew Renner Wimmer | Dentist | 6690 S. Broadway, Centennial, CO 80121 | 2009-07-15 |
| 1134385131 | Paul Adams Hood | Counselor | 6949 South Highway 73, Suite 211, Evergreen, CO 80121 | 2008-07-30 |
| 1063545044 | Marcia J Murphy | Psychologist | 681 E Orchard Road, Centennial, CO 80121 | 2007-03-13 |
| 1417032111 | Edward J. Barrett | Dentist | 6650 S. Vine St, L-80, Centennial, CO 80121 | 2006-10-25 |
| 1255412334 | Donald A Metzger | Optometrist | 6610 S Broadway, Centennial, CO 80121 | 2006-10-17 |
| 1609893171 | Michele Marie Friedl | Dentist | 5959 S University, Greenwood Village, CO 80121 | 2006-07-17 |
| Find all providers in zip 80121 | ||||
| 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 |
|---|---|---|---|---|
| 1609436120 | Emilie Kimiko Nishimoto | Dental Hygienist | 8601 E Dry Creek Rd Unit 127, Centennial, CO 80112-2700 | 2019-06-17 |
| 1053800615 | Danielle Dooley | Dental Hygienist | 6726 S Revere Pkwy Ste A-140, Centennial, CO 80112-3961 | 2018-05-08 |
| 1013415710 | Stephanie Gunter | Dental Hygienist | 19820 E Prentice Pl, Centennial, CO 80015-3717 | 2018-01-28 |
| 1649789348 | Marina Velitskaya | Dental Hygienist | 6854 S Willow St, Centennial, CO 80112 | 2017-09-25 |
| 1104278407 | Kellie Vigoren | Dental Hygienist | 7368 S Hudson Way, Centennial, CO 80122-2549 | 2016-07-11 |
| 1831562024 | Vicki L. Earnshaw | Dental Hygienist | 7940 S. University Blvd., Suite 200, Centennial, CO 80122 | 2015-11-10 |
| 1972998250 | Laura Lee Reuther | Dental Hygienist | 510 E Briarwood Dr, Centennial, CO 80122-1007 | 2015-04-02 |
| 1174860753 | Yanira Owens | Dental Hygienist | 18525 E Smoky Hill Rd, Suite D, Centennial, CO 80015-3108 | 2013-01-15 |
| 1245451970 | Kimberley Capalby | Dental Hygienist | 8170 S University Blvd, Ste 240, Centennial, CO 80122-3196 | 2007-05-01 |
| 1205057940 | Colleen May | Dental Hygienist | 8170 S University Blvd, Ste 240, Centennial, CO 80122-3196 | 2007-05-01 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80121 |
Please comment or provide details below to improve the information on MS. LAURA L JACOB.
| 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.