KRISTI WADSWORTH (NPI# 1710430483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710430483 |
| Entity Type | Individual |
| Full Name | KRISTI WADSWORTH |
| Credential | RDH |
| Practice Address |
10541 W Avenida Del Sol Peoria AZ 85383-9765 |
| Practice Telephone | 4064559405 |
| Mailing Telephone | 4064559405 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1309 | MT | Dental Providers |
| Street Address |
10541 W AVENIDA DEL SOL |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-9765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| 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 |
|---|---|---|---|---|
| 1518482728 | Denise Liane Treece | Dental Hygienist | 13163 N 75th Dr, Peoria, AZ 85381-4006 | 2017-08-09 |
| 1578834792 | Corliss Kelly Hales | Dental Hygienist | 15182 N. 75th Ave, Peoria, AZ 85381 | 2012-01-19 |
| 1699841403 | Pamela Ryan-hick | Dental Hygienist | 15182 N 75th Ave, Ste 120, Peoria, AZ 85381 | 2006-11-27 |
| 1144309097 | Pamela Keane | Dental Hygienist | 15182 N 75th Ave Ste 120, Peoria, AZ 85381-4722 | 2006-11-03 |
| 1669716544 | Tara Eden Vanderpool | Dental Hygienist | 15182 N 75th Ave, Suite 120, Peoria, AZ 85381-4722 | 2012-11-16 |
| 1669722823 | Breanna Rose Olson | Dental Hygienist | 15188 N 75th Ave, #280, Peoria, AZ 85381-4723 | 2012-09-14 |
| 1104119858 | Lana Jarjis | Dental Hygienist | 15182 N 75th Ave, Suite 120, Peoria, AZ 85381-4722 | 2011-05-26 |
| 1609182419 | Gloria J Malloy | Dental Hygienist | 15182 N 75th Ave, Peoria, AZ 85381-4722 | 2010-08-31 |
| 1790010742 | Traci Michelle Romero | Dental Hygienist | 8249 W Thunderbird Rd, Suite 110, Peoria, AZ 85381-4601 | 2009-10-08 |
| 1932320660 | Roberta Myers | Dental Hygienist | 8249 W Thunderbird Rd, Suite 110, Peoria, AZ 85381-4601 | 2007-05-01 |
| Find all providers in PEORIA | ||||
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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.