KELLY KATHLEEN BEARSS (NPI# 1417354077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417354077 |
| Entity Type | Individual |
| Full Name | KELLY KATHLEEN BEARSS |
| Credential | R.D.H. |
| Practice Address |
6715 Old 28th St Se Grand Rapids MI 49546-6923 |
| Mailing Address |
639 Eastern Ave Ne Grand Rapids MI 49503-1810 |
| Practice Telephone | 6169490730 |
| Mailing Telephone | 6163221236 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902013595 | MI | Dental Providers |
| Street Address |
6715 OLD 28TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1407221427 | Emily Kose | Dental Hygienist | 550 Cherry Street, Grand Rapids, MI 49503-4748 | 2015-12-02 |
| 1700250826 | Melissa O'dell | Dental Hygienist | 1904 Lynne Ln Nw, Grand Rapids, MI 49504-6029 | 2015-12-01 |
| 1922473057 | Jodi Basiaga | Dental Hygienist | 2843 Vistaview Dr Nw, Grand Rapids, MI 49544-8204 | 2015-12-01 |
| 1205208667 | Jeanette Vanoeffelen | Dental Hygienist | 101 Sheldon Se, Grand Rapids, MI 49503 | 2015-10-26 |
| 1952916710 | Amy Lynn Jones | Dental Hygienist | 717 Georgia Ct Ne, Grand Rapids, MI 49525-2180 | 2020-09-09 |
| 1861024325 | Michelle Lynn Heeren | Dental Hygienist | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2020-02-12 |
| 1912551219 | Mallory Anderson | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-07-25 |
| 1366004913 | Margaret Jane Vandenbosch | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1497317036 | Deborah Lynn Schorr | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1659835486 | Michelle Enos | Dental Hygienist | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-01-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on KELLY KATHLEEN BEARSS.
| 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.