DR. KRISTINE L. GOMEZ (NPI# 1649301102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649301102 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE L. GOMEZ |
| Credential | DDS |
| Practice Address |
720 E 11th St Douglas AZ 85607-2241 |
| Practice Telephone | 5203649718 |
| Practice Fax Number | 5208059391 |
| Mailing Telephone | 5203649718 |
| Mailing Fax Number | 5208059391 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4268 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609208313 | Kristine Nicole Gomez | Physician Assistant | 2919 W Swann Ave Ste 108, Tampa, FL 33609-4038 | 2013-08-05 |
| Street Address |
720 E 11TH ST |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861050379 | Benjamin Paul Kairis | Dentist | 430 Wiley Rd, Douglas, MI 49406-5122 | 2019-05-30 |
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1366606519 | Justin Mcgovern | Dentist | 1370 Gordon St W, Douglas, GA 31533-3432 | 2008-07-16 |
| 1134253727 | Jinnie S Cleveland | Dentist | 1310 Ocilla Rd, Douglas, GA 31533-2222 | 2007-03-15 |
| 1932110103 | Heidi Knight White | Dentist | 709 Peterson Ave N, Douglas, GA 31533-4911 | 2006-08-11 |
| 1205802303 | Tracey Jean Dellavecchia | Dentist | 430 130th Ave, Douglas, MI 49406-5100 | 2006-02-27 |
| 1457331027 | David Allen Vickers | Dentist | 908 Madison Ave N, Douglas, GA 31533-3126 | 2006-01-19 |
| 1972128932 | Jessilee Gabrielle Brooker | Dentist | 1108 Madison Ave N, Douglas, GA 31533-2802 | 2020-06-15 |
| 1891347142 | Luca Tedesco | Dentist | 430 Wiley Rd, Douglas, MI 49406-5122 | 2019-07-16 |
| 1497131510 | Christopher Rogowski | Dentist | 1100 F Ave, Douglas, AZ 85607-1919 | 2015-07-31 |
| Find all providers in DOUGLAS | ||||
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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.