MRS. ERICKA RENEE SMITH (NPI# 1639783053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639783053 |
| Entity Type | Individual |
| Full Name | MRS. ERICKA RENEE SMITH |
| Other Name | ERICKA RENEE DENNIS |
| Credential | DA 3160 |
| Practice Address |
280 1st St Holloman Afb NM 88330-8273 |
| Practice Telephone | 5755723742 |
| Practice Fax Number | 5755727634 |
| Mailing Telephone | 5755723742 |
| Mailing Fax Number | 5755727634 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | DA3160 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1689944654 | Ericka Lynn Smith | Registered Nurse | 5713 Charlesgate Rd, Huber Heights, OH 45424-1116 | 2012-01-09 |
| 1528668308 | Ericka Smith | Pharmacist | 11400 W Broad St Rd, Glen Allen, VA 23060-5821 | 2020-10-29 |
| 1457893521 | Ericka Smith | Behavioral Analyst | 10620 Treena St, San Diego, CA 92131-1140 | 2016-11-07 |
| 1235682881 | Ericka Smith | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2016-08-01 |
| 1821444738 | Ericka Smith | Specialist/Technologist | 6805 Bobcat Way, Dublin, OH 43016 | 2016-05-10 |
| 1346597481 | Ericka Heather Smith | Physical Therapy Assistant | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2012-08-08 |
| Street Address |
280 1ST ST |
| City | HOLLOMAN AFB |
| State | NM |
| Zip Code | 88330-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972581056 | Peter Balogh | Dentist | 280 1st St, Holloman Afb, NM 88330-8273 | 2006-01-09 |
| 1629682034 | Danielle Moore | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| 1316420235 | Matthew Lawrence | Physician Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2018-09-07 |
| 1972042331 | Erik Steidley | Nurse Practitioner | 280 1st St, Holloman Afb, NM 88310 | 2017-02-17 |
| 1811435613 | Ashly Marie Pezel | Pediatrics | 280 1st St, Holloman Afb, NM 88330-8273 | 2017-02-01 |
| 1003265299 | Anne Christine Rivera | Dietitian, Registered | 280 1st St, 49mdg/sgpz, Holloman Afb, NM 88330-8273 | 2016-06-08 |
| 1679935720 | Travis Stevens | Social Worker | 280 1st St, Holloman Afb, NM 88330-8273 | 2016-03-27 |
| 1124497623 | Samuel Henry Patton | Counselor | 280 1st St, 49 Medical Group, Holloman Afb, NM 88330-8273 | 2015-09-15 |
| 1144600016 | James Andrew Carroll | Pediatrics | 280 1st St, Holloman Afb, NM 88330-8273 | 2015-06-04 |
| 1508100207 | Jana Joel Mcburney | Nurse Practitioner | 280 1st St, Holloman Afb, NM 88330-8273 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312084 | Zachary James Smith | Pharmacist | 49th Medical Group 280 First Street, Holloman Afb, NM 88330 | 2019-08-20 |
| 1346776804 | Maxilea Isom | Behavior Technician | 2079 Eglin Ave Apt A, Holloman, Afb, NM 88330 | 2017-05-03 |
| 1932558665 | Courtney Davis | Day Training/Habilitation Specialist | 2228 La Luz Pkwy Unit A, Holloman Afb, NM 88330 | 2016-06-03 |
| 1568849255 | Ryan Abner | Registered Nurse | 49th Medical Building 17, Holloman Afb, NM 88330 | 2015-05-01 |
| 1710384292 | United States Air Force | Military Hospital | 49th Medical Bldg 17, Holloman Afb, NM 88330 | 2014-11-26 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1275891889 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 | 2012-05-02 |
| 1568606317 | Kimberly Dawn Jensen | Internal Medicine | 280 1st St Bldg 15, 49 Mdg Holloman Afb, Holloman Afb, NM 88330 | 2009-04-23 |
| 1700042306 | Bettina Watkins | Family Medicine | 280 First St, Bldg 23, Holloman Afb, NM 88330 | 2008-08-03 |
| Find all providers in zip 88330 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682034 | Danielle Moore | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518117266 | Eva M. Benally | Dental Assistant | 07 Choosgai Dr., Tohatchi, NM 87325 | 2008-09-30 |
| 1184874836 | Carol T. Halona | Dental Assistant | 00 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1447400197 | Glorianne Natonabah | Dental Assistant | 07 Chooshgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1598144255 | Jessica Young | Dental Assistant | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-05-27 |
| 1801123559 | Vickie Becenti | Dental Assistant | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2009-11-17 |
| 1073763728 | Anna George | Dental Assistant | 07 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1508016254 | Velma M. Smith | Dental Assistant | 07 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1427208172 | Georgia Ann Henry | Dental Assistant | 07 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1336399088 | Valina Chee | Dental Assistant | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2008-09-30 |
| 1245480995 | Olive Pino | Dental Assistant | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
| City | HOLLOMAN AFB |
| Zip Code | 88330 |
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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.