MRS. PEGGY ANN LEWELLING (NPI# 1518219310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518219310 |
| Entity Type | Individual |
| Full Name | MRS. PEGGY ANN LEWELLING |
| Credential | RDH |
| Practice Address |
15962 Sw Tualatin-sherwood Rd Sherwood OR 97140 |
| Practice Telephone | 5036253767 |
| Practice Fax Number | 5036256956 |
| Mailing Telephone | 5036253767 |
| Mailing Fax Number | 5036256956 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H3868 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DENTAL HYGIENE LICENSE OREGON BOARD OF DENTISTRY | H3868 | 01 |
| Street Address |
15962 SW TUALATIN-SHERWOOD RD |
| City | SHERWOOD |
| State | OR |
| Zip Code | 97140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902744 | Barbara Jo Morgan | Technician | 17752 Sw Inkster Dr., Sherwood, OR 97140 | 2019-09-27 |
| 1588193031 | Brett Matthew Hulbert | Student in an Organized Health Care Education/Training Program | 17193 Sw Terrapin Dr. #106, Sherwood, OR 97140 | 2017-06-08 |
| 1083157416 | Lisa Pauline Knudsen | Counselor | 20512 Sw Roy Rogers Rd, Suite 150, Sherwood, OR 97140 | 2016-12-03 |
| 1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
| 1649634668 | Sheila Johnson | Specialist | 15885 Sw Springtooth Ln, Sherwood, OR 97140 | 2016-04-06 |
| 1649640335 | Northwest Neurohealth LLC | Clinical Neuropsychologist | 501 N. Villa Road, Newberg, OR 97140 | 2015-10-07 |
| 1366841785 | Tae Yoon | Pharmacist | 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 | 2014-08-21 |
| 1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
| 1588916662 | Stacey Lynn Ritala | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd., Sherwood, OR 97140 | 2012-10-12 |
| 1427307396 | Jenna Maren Vernon | Physical Therapist | 16770 Sw Edy Rd Ste 310, Sherwood, OR 97140 | 2012-09-06 |
| Find all providers in zip 97140 | ||||
| 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 |
|---|---|---|---|---|
| 1588916662 | Stacey Lynn Ritala | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd., Sherwood, OR 97140 | 2012-10-12 |
| 1609176262 | Heidi Jo Grubbs | Dental Hygienist | 19230 Sw Conzelmann Rd, Sherwood, OR 97140-8707 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789439 | Carlin Chung | Dental Hygienist | 8839 Sw Amicus Ter, Beaverton, OR 97007-9045 | 2020-10-30 |
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1366051955 | Tia Glanding | Dental Hygienist | 490 W Pickett Creek Rd, Grants Pass, OR 97527-9668 | 2020-07-29 |
| 1396354098 | Sierra Nicole Miller | Dental Hygienist | 2383 Nw Hackamore Ln, Prineville, OR 97754-8011 | 2020-07-28 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1174159453 | Tiffany Bunn | Dental Hygienist | 7313 Ne Imbrie Dr, Hillsboro, OR 97124-7595 | 2020-03-18 |
| 1598399396 | Barbara Angela Worthey | Dental Hygienist | 1050 Sw 6th Ave, Portland, OR 97204-1156 | 2020-03-02 |
| 1073144671 | Michelle Yen Nguyen | Dental Hygienist | 15280 Se Baron Loop, Happy Valley, OR 97086-4468 | 2020-02-01 |
| 1265063440 | Megan Diane Hinchcliff | Dental Hygienist | 106 Maple Blvd, Wood Village, OR 97060-1111 | 2020-01-28 |
| 1598305765 | Gisela Zepeda | Dental Hygienist | 5851 Se Chase Rd, Gresham, OR 97080-8282 | 2020-01-15 |
| 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.