CRYSTAL COLLEEN MOORE (NPI# 1689235954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689235954 |
| Entity Type | Individual |
| Full Name | CRYSTAL COLLEEN MOORE |
| Credential | RDH |
| Practice Address |
2111 Champa St Denver CO 80205-2529 |
| Mailing Address |
1629 N Clarkson St Apt 12 Denver CO 80218-1441 |
| Practice Telephone | 3032932217 |
| Practice Fax Number | 3032968826 |
| Mailing Telephone | 7022028258 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH.002025526 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 E Cherry Creek South Dr Ste 101, Glendale, CO 802461532 | 3037594133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273753 | Crystal Wade Moore | Nurse Practitioner | 3940 Lowery Ln, Rocky Face, GA 30740-9756 | 2020-04-07 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1033617675 | Crystal Chantel Moore | Licensed Practical Nurse | 2260 Par Ln, H 911, Willoughby Hills, OH 44094-2966 | 2018-01-29 |
| 1477084614 | Crystal Baxley Moore | Specialist | 105 East Broad St, Elizabethtown, NC 28337 | 2017-03-21 |
| 1063849586 | Crystal Lynn Moore | Pharmacist | 700 Merrywood Ln, Star City, AR 71667-5606 | 2013-09-29 |
| 1639411309 | Crystal Moore | Social Worker | 9 Roux 61 Dr Ste C, Natchez, MS 39120-2176 | 2013-03-20 |
| 1790319176 | Crystal Moore | Social Worker | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-02-25 |
| 1336704881 | Crystal A Moore | Counselor | 812 S Walnut St, Spokane, WA 99204-3326 | 2019-05-09 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| 1356887657 | Crystal Moore | Social Worker | 5 Court St Ste 42, Norwich, NY 13815-1695 | 2017-01-10 |
| Street Address |
2111 CHAMPA ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215994157 | Catherine Mcelwain | Nurse Practitioner | 2111 Champa St, Denver, CO 80205-2529 | 2006-04-26 |
| 1043811524 | Nicholas Vincent Hamblin | Counselor | 2111 Champa St, Denver, CO 80205-2529 | 2020-11-03 |
| 1558975227 | Kaitlin Wagner | Counselor | 2111 Champa St, Denver, CO 80205-2529 | 2020-09-01 |
| 1003429838 | Marielle Galanto | Pharmacist | 2111 Champa St, Denver, CO 80205-2529 | 2020-08-31 |
| 1891308722 | Alexis Renee Kontz | Counselor | 2111 Champa St, Denver, CO 80205-2529 | 2020-08-29 |
| 1629681671 | Angela Grace Lavecchia | Social Worker | 2111 Champa St, Denver, CO 80205-2529 | 2020-08-28 |
| 1134745656 | Matya Menda | Social Worker | 2111 Champa St, Denver, CO 80205-2529 | 2020-06-20 |
| 1376179432 | Athena Powell | Pharmacist | 2111 Champa St, Denver, CO 80205-2529 | 2020-03-19 |
| 1881233294 | Jessica Spindler | Counselor | 2111 Champa St, Denver, CO 80205-2529 | 2020-01-02 |
| 1962053157 | Ashley Anne Glazier Petersohn | Dental Hygienist | 2111 Champa St, Denver, CO 80205-2529 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| 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 |
|---|---|---|---|---|
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1043853823 | Hanh Le | Dental Hygienist | 9250 E Hampden Ave Ste 150, Denver, CO 80231-5413 | 2019-10-23 |
| 1467018812 | Kylee Martin | Dental Hygienist | 3550 W 38th Ave Ste 50, Denver, CO 80211-2000 | 2019-05-10 |
| 1760940647 | Paige Melissa Mcevoy | Dental Hygienist | 1062 Akron Way Bldg 753, Denver, CO 80230-7102 | 2019-03-09 |
| 1972079010 | Laurine Stainbrook | Dental Hygienist | 1100 Federal Blvd # Mc3000, Denver, CO 80204-3219 | 2018-10-16 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1164920666 | Gissel Garcia | Dental Hygienist | 7895 Elder Cir, Denver, CO 80221-4026 | 2018-01-30 |
| 1396253068 | Pareesa Ariana Goshtasebi | Dental Hygienist | 4956 Knox Ct, Denver, CO 80221-1134 | 2018-01-16 |
| 1578081865 | Alexandra Lauren Griffith | Dental Hygienist | 1800 15th St Ste 100, Denver, CO 80202-7134 | 2017-09-06 |
| Find all providers in DENVER | ||||
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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.