CARRIE L GREGORY (NPI# 1629196944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629196944 |
| Entity Type | Individual |
| Full Name | CARRIE L GREGORY |
| Credential | DENTAL HYGENTIST |
| Practice Address |
202b Main St New Madrid MO 63869-1911 |
| Mailing Address |
202b Main St P.o. Box 400 New Madrid MO 63869-1911 |
| Practice Telephone | 5737485671 |
| Practice Fax Number | 5737485317 |
| Mailing Telephone | 5737485671 |
| Mailing Fax Number | 5737485317 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2003003714 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780904599 | Carrie Gregory | Pediatrics | 8301 Magnolia Estates Dr Ste 16, Cornelius, NC 28031-8053 | 2010-06-03 |
| 1225028368 | Carrie Ashby Gregory | Emergency Medicine | 51st Medical Group, Unit 2060, Apo, AP 96278 | 2005-10-27 |
| Street Address |
202B MAIN ST |
| City | NEW MADRID |
| State | MO |
| Zip Code | 63869-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033237359 | Kristen Nelson | Dental Hygienist | 202b Main St, New Madrid, MO 63869-1911 | 2007-03-26 |
| 1659711596 | Blair Ray | Dental Hygienist | 202b Main St, New Madrid, MO 63869-1911 | 2013-06-25 |
| 1457570681 | Southeast Missouri Health Network | Dentist | 202b Main St, New Madrid, MO 63869-1911 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924845 | Sierra Elaine Holiman | Nurse Practitioner | 800 Us Hwy 61, New Madrid, MO 63869 | 2019-04-22 |
| 1083143325 | Family Matters Home Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 985 Ramsey Lane, New Madrid, MO 63869 | 2017-06-09 |
| 1174849491 | Lorenzo Antonio Aquino Tolentino | Physical Therapist | 1050 Dawson Road, New Madrid, MO 63869 | 2010-04-12 |
| 1043467285 | Betty Ann Cagle | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 131 St. Thomas Lane, New Madrid, MO 63869 | 2008-08-19 |
| 1932372646 | Pemiscot County Memorial Hospital | Clinic/Center | 555 Virginia Ave, New Madrid, MO 63869 | 2008-04-03 |
| 1629138425 | Timothy P Rausch | Dentist | 645 Us Hwy 61, New Madrid, MO 63869 | 2006-12-11 |
| 1821628850 | Family Matters In Home LLC | In Home Supportive Care | 415 Main St, New Madrid, MO 63869 | 2020-01-17 |
| 1508314907 | Family Matters Cds LLC | Home Health | 413 Main Street, New Madrid, MO 63869 | 2016-09-14 |
| 1649657495 | Trusted Hands Direct LLC | In Home Supportive Care | 1 Courthouse Square, New Madrid, MO 63869 | 2015-04-30 |
| 1598161739 | Trusted Hands In Home Supportive Services | In Home Supportive Care | 1 Courthouse Square, New Madrid, MO 63869 | 2014-11-17 |
| Find all providers in zip 63869 | ||||
| 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 |
|---|---|---|---|---|
| 1033237359 | Kristen Nelson | Dental Hygienist | 202b Main St, New Madrid, MO 63869-1911 | 2007-03-26 |
| 1659711596 | Blair Ray | Dental Hygienist | 202b Main St, New Madrid, MO 63869-1911 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323238 | Marcia Poe | Dental Hygienist | 20815 S Dean Rd, Belton, MO 64012-9132 | 2020-10-12 |
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1447868542 | Emily Sue Leslie | Dental Hygienist | 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 | 2020-07-15 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1396237863 | Maegen Mone Taylor | Dental Hygienist | 547 S Business Highway 13, Lexington, MO 64067 | 2018-05-31 |
| 1740798750 | Julie R Phillips | Dental Hygienist | 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 | 2018-01-12 |
| 1639618325 | Tabitha Vollmer | Dental Hygienist | 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 | 2017-02-15 |
| 1588113773 | Heather Annette Henke | Dental Hygienist | #5 Health Department Drive, Troy, MO 63379-4451 | 2016-09-28 |
| 1720532104 | Angela Faurot | Dental Hygienist | 4001 Pine View Dr, Columbia, MO 65202-4209 | 2016-08-15 |
| 1497105688 | Lisa Diane Moss | Dental Hygienist | 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
| City | NEW MADRID |
| Zip Code | 63869 |
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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.