JANELLE K MANCHA (NPI# 1568930782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568930782 |
| Entity Type | Individual |
| Full Name | JANELLE K MANCHA |
| Credential | RDH |
| Practice Address |
9527 Night Sky Ln Ne Albuquerque NM 87122-1252 |
| Mailing Address |
8100 Wyoming Blvd Ne Ste M4, #379 Albuquerque NM 87113-1963 |
| Practice Telephone | 5052255787 |
| Practice Fax Number | 5052193124 |
| Mailing Telephone | 5052255787 |
| Mailing Fax Number | 5052193124 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH1271 | NM | Dental Providers |
| Street Address |
9527 NIGHT SKY LN NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87122-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821566589 | Carrie Jo Fox | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-10 |
| 1558839381 | Gloria Abeyta | Dental Hygienist | 9527 Night Sky Ln Ne, Albuquerque, NM 87122-1252 | 2018-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426988 | Sophia Khalil | Student in an Organized Health Care Education/Training Program | 11128 Jordan Avenue Northeast, Albuquerque, NM 87122 | 2020-01-15 |
| 1457716664 | Raymond Martinez | Pharmacist | 7847 Tramway Ne, Albuquerque, NM 87122 | 2015-12-15 |
| 1891181913 | Paul Wright | Occupational Therapist | 30 Canocito Drive Ne, Albuquerque, NM 87122 | 2015-04-15 |
| 1356736615 | Tracy Pfeifer | Day Training/Habilitation Specialist | 8920 Holly Avenue Ne, Suite 102b, Albuquerque, NM 87122 | 2015-04-03 |
| 1346595071 | Jonathan Harper Kelley | Dentist | 9015 Paseo Del Norte Ne Ste A, Albuquerque, NM 87122 | 2012-07-18 |
| 1639444946 | Charlsey Leigh Mcdonald | Physical Therapist | 7920 Carmel Ave. Ne, Suite 2, Albuquerque, NM 87122 | 2012-03-20 |
| 1235462250 | Pamela Kay Limke | Pharmacist | 12112 Summer Wind Pl Ne, Albuquerque, NM 87122 | 2009-09-09 |
| 1437395332 | High Desert Pedicatrics PC | Pediatrics | 8650 Almeda Boulevard, Ne, Unit 101 E, Albuquerque, NM 87122 | 2008-12-23 |
| 1952427510 | Thomas Harry Heflin | Dentist | 8000 Carmel Ave, Albuquerque, NM 87122 | 2007-03-22 |
| 1497885032 | Thomas H Heflin Dds Pa | Dentist | 8000 Carmel Avenue Ne, Albuquerque, NM 87122 | 2007-03-06 |
| Find all providers in zip 87122 | ||||
| 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 |
|---|---|---|---|---|
| 1063988301 | Sarah Adele Sisneros | Dental Hygienist | 333 San Mateo Blvd Se Ste A, Albuquerque, NM 87108-2919 | 2018-10-14 |
| 1700393733 | Utopia Dental Care,llc | Dental Hygienist | 1100 Lomas Blvd Nw Ste 1a, Albuquerque, NM 87102-1878 | 2017-12-28 |
| 1992229751 | Natasha Lynn Trujillo | Dental Hygienist | 1201 Stutz Dr Ne, Albuquerque, NM 87112-6232 | 2017-08-02 |
| 1548710437 | Sheila Hudson | Dental Hygienist | 10700 Academy Rd Ne, Apt # 921, Albuquerque, NM 87111-7378 | 2016-10-04 |
| 1790136745 | Jessica Gonzales | Dental Hygienist | 4800 Cutler Ave Ne, Albuquerque, NM 87110-4033 | 2016-06-30 |
| 1801259759 | Yvette Granados | Dental Hygienist | 3520 Montgomery Blvd Ne, Albuquerque, NM 87107-4846 | 2016-03-29 |
| 1811364136 | Johanna Mccoy | Dental Hygienist | 4400 Cutler Avenue Nw, Albuquerque, NM 87110 | 2015-08-24 |
| 1982087045 | Lisa Mercer | Dental Hygienist | 1500 Villa Del Valle Ne, Albuquerque, NM 87113-1096 | 2015-07-07 |
| 1699152017 | Lyumila Shapiro | Dental Hygienist | 920 Seattle Slew Ave Se, Albuquerque, NM 87123-2326 | 2015-05-05 |
| 1528486214 | Donna Lynn Romm | Dental Hygienist | 8400 Osuna Rd Ne Ste 4a, Albuquerque, NM 87111-2071 | 2014-03-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87122 |
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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.