DR. SONIA VERONICA IDROGO (NPI# 1427343680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427343680 |
Entity Type | Individual |
Full Name | DR. SONIA VERONICA IDROGO |
Credential | DMD |
Practice Address |
140 E Main St Othello WA 99344-1040 |
Mailing Address |
755 N Desdemona Ave Othello WA 99344-0807 |
Practice Telephone | 5094885256 |
Practice Fax Number | 5094889939 |
Mailing Telephone | 4073425533 |
Enumeration Date | 2011-06-16 |
Last Update Date | 2011-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | RR60147502 | WA | Dental Providers |
Street Address |
140 E MAIN ST |
City | OTHELLO |
State | WA |
Zip Code | 99344-1040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861913279 | Leo Gaeta | Social Worker | 140 E Main St, Othello, WA 99344-1040 | 2017-07-06 |
1437518495 | Laurianne Sakai | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-18 |
1427417807 | Jeffrey Chang | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-15 |
1083073522 | Jordan Endres | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-12 |
1063897957 | Kittrick Kane | Physician Assistant | 140 E Main St, Othello, WA 99344-1040 | 2015-07-21 |
1659753168 | Leigh Castillo | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-06-19 |
1356733307 | Chi Mac | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-02-27 |
1386071454 | Lusila Judith Valdez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-10-03 |
1063849529 | Clarissa Jimenez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-09-30 |
1548608649 | Mark Eugene Petersen | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
Find all providers in zip 99344 |
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 |
---|---|---|---|---|
1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
1720579378 | Nisha Sharoff Ashwin | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-05-18 |
1114385044 | Nichole Tomblin | Dentist | 1515 E Columbia St, Dental Department, Othello, WA 99344-9934 | 2016-02-06 |
1295139152 | Keng-hao Chang | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2014-10-21 |
1568801868 | Janet Romero | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2013-06-19 |
1568741189 | Isaac Walter King | Dentist | 140 E Main St, Othello, WA 99344-1040 | 2011-08-13 |
1962790006 | Luis Pedro Miron Carcamo | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2011-07-11 |
1487884086 | Noah Robert Frerichs | Dentist | 140 E Main St, Othello, WA 99344-1040 | 2009-07-17 |
Find all providers in OTHELLO |
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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.