BERNICE MARTINEZ (NPI# 1386079465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386079465 |
| Entity Type | Individual |
| Full Name | BERNICE MARTINEZ |
| Credential | RDH |
| Practice Address |
1700 N Salem Ave Ste B Pueblo CO 81001-2846 |
| Mailing Address |
39 Altadena Dr Pueblo CO 81005-2963 |
| Practice Telephone | 7195824222 |
| Mailing Telephone | 7195660445 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH000905418 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528359494 | Bernice Martinez | Behavioral Analyst | 24729 Marine Ave, Carson, CA 90745-6527 | 2011-04-27 |
| Street Address |
1700 N SALEM AVE STE B |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1124533393 | Lauren Stewart | Dental Hygienist | 2824 7th Ave, Pueblo, CO 81003-1625 | 2017-12-09 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1144695917 | Megan Nicole Passig | Dental Hygienist | 2920 Thornberry Ln, Pueblo, CO 81005-5110 | 2015-12-04 |
| 1790171429 | Dr. Robert C. Davis | Dental Hygienist | 902 West 29th Street, Pueblo, CO 81008-1159 | 2015-04-09 |
| 1538550728 | Crystal Mae Shepherd | Dental Hygienist | 3165 E Spaulding Ave Apt 101, Pueblo, CO 81008-2243 | 2015-02-10 |
| 1720482607 | Jeanne Graves | Dental Hygienist | 2099 W. Us Hwy 50, Suite #180, Pueblo, CO 81008-1673 | 2014-10-21 |
| 1376947481 | Linda Capito | Dental Hygienist | 36197 Daniel Rd, Pueblo, CO 81006-9430 | 2014-10-17 |
| 1356780167 | Rita Sebastiana Ohrdorf | Dental Hygienist | 1000 W 6th St Ste V, Pueblo, CO 81003-2378 | 2013-06-14 |
| 1073862306 | Maryellen Blasing | Dental Hygienist | 106 La Vista Rd, Pueblo, CO 81005-2617 | 2012-08-31 |
| Find all providers in PUEBLO | ||||
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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.