AGNES TAN (NPI# 1548898851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548898851 |
| Entity Type | Individual |
| Full Name | AGNES TAN |
| Credential | RDH |
| Practice Address |
105 W Madison St Chicago IL 60602-4602 |
| Mailing Address |
3305 S Racine Ave Chicago IL 60608-6408 |
| Practice Telephone | 3129751128 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205384823 | Agnes Tan | Nurse Practitioner | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2016-09-12 |
| Street Address |
105 W MADISON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548321250 | Adapt of Illinois, Inc. | Community/Behavioral Health | 105 W Madison St, Suite 800, Chicago, IL 60602-4602 | 2006-12-13 |
| 1912568262 | Shivani Patel | Dentist | 105 W Madison St, Chicago, IL 60602-4602 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| 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 |
|---|---|---|---|---|
| 1417504192 | Laura M Scully | Dental Hygienist | 7013 W Farragut Ave, Chicago, IL 60656-1923 | 2019-08-19 |
| 1982269551 | Elisabeth Raya | Dental Hygienist | 1950 W Polk St Ste 1000, Chicago, IL 60612-3723 | 2019-05-08 |
| 1477009793 | Shawanda Carothers | Dental Hygienist | 8321 S. Hermitage Ave, Chicago, IL 60620-4630 | 2016-08-28 |
| 1033664420 | Rozalia Orlof | Dental Hygienist | 5415 N Neva Ave, Chicago, IL 60656-1934 | 2016-08-16 |
| 1053865865 | Gina Marie Misch | Dental Hygienist | 6535 W 60th St, Chicago, IL 60638-3313 | 2016-08-09 |
| 1255785994 | Daviliqua Thomas | Dental Hygienist | 7215 N Bell Ave, Chicago, IL 60645-2046 | 2016-04-19 |
| 1063889228 | Allison Winters | Dental Hygienist | 1741 W 93rd St, Chicago, IL 60643-5851 | 2015-08-24 |
| 1265784151 | Van Anh Nguyen | Dental Hygienist | 6074 N Troy St., Chicago, IL 60659 | 2012-10-03 |
| 1013262401 | Alfredo Carrasquillo | Dental Hygienist | 4104 W Nelson St, Chicago, IL 60641-5441 | 2012-07-21 |
| 1326318718 | Althea Brinker-thomas | Dental Hygienist | 3851 W Ogden Ave, Attn: Dental Dept, Chicago, IL 60623-2459 | 2012-01-03 |
| Find all providers in CHICAGO | ||||
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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.