STEVEN COLLOTZI (NPI# 1457897910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457897910 |
| Entity Type | Individual |
| Full Name | STEVEN COLLOTZI |
| Credential | RDH |
| Practice Address |
199 Hwy 50 Pecos NM 87552 |
| Practice Telephone | 5057576666 |
| Practice Fax Number | 5057572700 |
| Mailing Telephone | 5057576666 |
| Mailing Fax Number | 5057572700 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH4561 | NM | Dental Providers |
| Street Address |
199 HWY 50 |
| City | PECOS |
| State | NM |
| Zip Code | 87552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912016866 | Richard C Peters | Dentist | 199 Hwy 50, Pecos, NM 87552-0710 | 2006-08-30 |
| 1912443508 | Brenda Caracheo | Dental Hygienist | 199 Hwy 50, Pecos, NM 87552 | 2017-01-06 |
| 1912355629 | Jonathon Karl Frederiksen | Dental Hygienist | 199 Hwy 50, Pecos, NM 87552 | 2016-06-03 |
| 1699938662 | Daniel Keith Evans | Dentist | 199 Hwy 50, Pecos, NM 87552 | 2008-07-09 |
| 1497801047 | Pecos Valley Medical Center, Inc | Pharmacy | 199 Hwy 50, Pecos, NM 87552-0710 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1437653060 | Caitlin Thomas | Nurse Practitioner | Pecos Valley Medical Center 199 Hwy 50, Pecos, NM 87552 | 2018-03-20 |
| 1609393636 | Graciella Liliana Valencia-varela | Behavior Technician | #03 West Chamisa Spur, 03, Pecos, NM 87552 | 2017-08-30 |
| 1497146690 | Scott Temple | Social Worker | 199 Nm Highway 50, Pecos, NM 87552 | 2015-02-10 |
| 1750671954 | Julastene Dyer-moore | Dentist | 199 Highway 50, Pecos, NM 87552 | 2011-04-10 |
| 1316267073 | Lida Valencia | Counselor | 199 Nm-50, Pecos, NM 87552 | 2010-06-04 |
| 1801927264 | Pecos Independent School District | Local Education Agency (LEA) | Pecos Independent School District, North Highway 63, Pecos, NM 87552 | 2007-03-08 |
| 1629150610 | Susan Upton Lovro | Physician Assistant | 3 Highway 50, #d, Pecos, NM 87552 | 2006-10-19 |
| 1730150178 | Lucien David Young | Internal Medicine | 199 Nm Hwy 50, Pecos, NM 87552 | 2006-02-01 |
| 1487291464 | Susan Sheldon Olive | Physician Assistant | 199 Highway 50, Pecos, NM 87552 | 2019-12-09 |
| Find all providers in zip 87552 | ||||
| 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 |
|---|---|---|---|---|
| 1912443508 | Brenda Caracheo | Dental Hygienist | 199 Hwy 50, Pecos, NM 87552 | 2017-01-06 |
| 1912355629 | Jonathon Karl Frederiksen | Dental Hygienist | 199 Hwy 50, Pecos, NM 87552 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940787 | Carrie Boehm | Dental Hygienist | 2844 E Main St Ste 106-145, Farmington, NM 87402-5260 | 2020-10-16 |
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1669095188 | Julie Arneson | Dental Hygienist | 11 Sacred Vista Rd, El Prado, NM 87529 | 2020-05-19 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1841839099 | Naomi Lynn Amador | Dental Hygienist | 105 Golf Dr, Clovis, NM 88101-3145 | 2020-01-04 |
| 1972061539 | Mary Hilley | Dental Hygienist | 33 General Sage Dr, Santa Fe, NM 87505-6397 | 2019-03-03 |
| 1568930782 | Janelle K Mancha | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-06 |
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1356825186 | Roberta Rodriguez | Dental Hygienist | 15136 St Hwy 75, Penasco, NM 87553 | 2018-09-18 |
| 1285125658 | Alicia T Medrano | Dental Hygienist | 1105 Golf Course Rd Se Bldg A, Rio Rancho, NM 87124-4733 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
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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.