MR. KARRY MICHAEL CASSIDY (NPI# 1386620623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386620623 |
| Entity Type | Individual |
| Full Name | MR. KARRY MICHAEL CASSIDY |
| Credential | RDH BS |
| Practice Address |
5471 Dr Martin Luther King Dr Saint Louis MO 63112-4265 |
| Practice Telephone | 3143675820 |
| Practice Fax Number | 3143677010 |
| Mailing Telephone | 3143675820 |
| Mailing Fax Number | 3143677010 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2002014200 | MO | Dental Providers |
| Street Address |
5471 DR MARTIN LUTHER KING DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825391 | Tiffany Shonta Klopner | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-14 |
| 1396359022 | Pamela Yvonne Wallace | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-01 |
| 1548874290 | Ashley D Whitley | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-09-01 |
| 1184235616 | Kendra Nailah Hughes | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-08-10 |
| 1780202135 | Amy Marie Heidotten | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-07-13 |
| 1376161729 | Monica Jeanne Witherspoon | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-07-13 |
| 1629691233 | Lavada Dolores James | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-05-19 |
| 1851910277 | Raven Clay | Nurse's Aide | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-04-15 |
| 1093342800 | Brittany Xia Wright | Licensed Practical Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-03-24 |
| 1124652714 | Jaemi Madlambayan Tiongson | Registered Nurse | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| 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 |
|---|---|---|---|---|
| 1013104736 | Lawrence Gaydos | Dental Hygienist | 12101 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 | 2007-09-26 |
| 1447379151 | Guadalupe Orozco | Dental Hygienist | 100 N Tucker Blvd, Suite 1100, Saint Louis, MO 63101-1931 | 2007-03-27 |
| 1891811790 | Jody Giardina Gates | Dental Hygienist | 111 South Meramec Avenue, Saint Louis, MO 63105-1711 | 2007-03-22 |
| 1487270906 | Michelle Lynn Crandell | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-06-20 |
| 1629691233 | Lavada Dolores James | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2020-05-19 |
| 1154839934 | Marshay Marie Marshall | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2018-01-16 |
| 1548773484 | Shuron C Bell | Dental Hygienist | 1500 Park Ave, Saint Louis, MO 63104-3024 | 2017-11-14 |
| 1245741784 | Amy R Adams | Dental Hygienist | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 2017-10-23 |
| 1336674266 | Nicole Stover | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-04-28 |
| 1114460847 | Alicia Mrazik | Dental Hygienist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2016-11-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
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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.