KATRINA ALT (NPI# 1417307067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417307067 |
| Entity Type | Individual |
| Full Name | KATRINA ALT |
| Credential | DMD |
| Practice Address |
13395 N Marana Main St Marana AZ 85653-7008 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206166200 |
| Mailing Telephone | 5206824111 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D009503 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | D009503 | 01 |
| Street Address |
13395 N MARANA MAIN ST |
| City | MARANA |
| State | AZ |
| Zip Code | 85653-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811964836 | Timothy Fitzgerald | Family Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-03-08 |
| 1013529684 | Jorydn Rippberger | Dental Hygienist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2020-08-17 |
| 1891342424 | John Ryan Sparks | Registered Nurse | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-08-19 |
| 1336609759 | Sarah Anne Netherton | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653 | 2019-03-21 |
| 1497213904 | Jessica Perkins | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-03-05 |
| 1932672227 | Athletico Ltd | Physical Therapist | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2019-01-09 |
| 1831670181 | Tatiana G Nieuwenhuys | Nurse Practitioner | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-08-24 |
| 1134618242 | Margarita N Elias | Social Worker | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2018-05-03 |
| 1922546282 | Brian Russell Menghini | Registered Nurse | 13395 N Marana Main St, Bldg B, Marana, AZ 85653-7008 | 2017-02-07 |
| 1801341268 | Nasreen Shaikh | Internal Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2016-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430473 | Shawn Kinney | Dentist | 13808 N. Sandario Road, Marana, AZ 85653 | 2016-07-06 |
| 1134462625 | Brittany M Summerkamp | Registered Nurse | 11279 W Grier Rd Ste100, Marana, AZ 85653 | 2013-04-03 |
| 1972881555 | Nicole Michelle Trombetta | Dentist | 13808 N. Sandario Rd, Marana, AZ 85653 | 2011-07-29 |
| 1699075689 | Jessica Zapf | Psychologist | 12279 W. Grier Rd, Marana, AZ 85653 | 2010-10-25 |
| 1255643359 | Carson B Wagstaff | Dentist | 13435 N Lon Adams Rd, Marana, AZ 85653 | 2010-07-06 |
| 1750546271 | Robert A Ellers | Psychologist | 12279 W. Grier Rd., Marana, AZ 85653 | 2008-07-24 |
| 1972766277 | Michael Carlton Fair | Dentist | 13455 N Lon Adams Rd, Marana, AZ 85653 | 2008-07-07 |
| 1194924969 | Bradner J Lawrence | Dentist | 12610 West Silverbell Rd, Marana, AZ 85653 | 2007-07-12 |
| 1629111687 | Heather Raney | Speech-Language Pathologist | 37571 S Herron Rd, Marana, AZ 85653 | 2007-02-15 |
| 1366580862 | Robert Otis Branch | Speech-Language Pathologist | 11279 W. Grier Rd., Musd Special Education, Marana, AZ 85653 | 2007-02-05 |
| Find all providers in zip 85653 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437649225 | Aaron Moeller | Dentist | 12090 N Thornydale Rd Ste 106, Marana, AZ 85658-4779 | 2018-05-16 |
| 1972881555 | Nicole Michelle Trombetta | Dentist | 13808 N. Sandario Rd, Marana, AZ 85653 | 2011-07-29 |
| 1255643359 | Carson B Wagstaff | Dentist | 13435 N Lon Adams Rd, Marana, AZ 85653 | 2010-07-06 |
| 1982826558 | Fair Dentistry | Dentist | 13455 N. Lon Adams Road, Marana, AZ 85653-0936 | 2007-05-03 |
| 1770504201 | Gregory Schwartz | Dentist | 13395 N Marana Main Street, Marana, AZ 85653 | 2006-07-21 |
| 1568948214 | Chester Bitter Kener | Dentist | 13455 N Lon Adams Rd, Marana, AZ 85653 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456031 | Roger Ryan Roybal, Dds, Pllc | Dentist | 14300 N Northsight Blvd Ste 214, Scottsdale, AZ 85260-3677 | 2020-11-01 |
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1750998969 | Christie Jacques | Dentist | 7410 E Sutton Dr, Scottsdale, AZ 85260-3915 | 2020-09-30 |
| 1447865480 | Luke Michael Mangelsdorf | Dentist | 2249 Hualapai Mountain Rd Ste 1, Kingman, AZ 86401-8321 | 2020-09-15 |
| 1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1992317143 | Justin S Dole | Dentist | 15125 N Scottsdale Rd Apt 303, Scottsdale, AZ 85254-3157 | 2020-08-19 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
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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.