RYAN MAYRUS KELSO (NPI# 1730417254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730417254 |
| Entity Type | Individual |
| Full Name | RYAN MAYRUS KELSO |
| Credential | DENTAL HYGENTIST |
| Practice Address |
1001 W 2nd Ave Spokane WA 99201-4503 |
| Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0233 |
| Practice Telephone | 5098351205 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH60119564 | WA | Dental Providers |
| Street Address |
1001 W 2ND AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690780 | Rusty A Reese | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2005-09-27 |
| 1962032250 | Hesham Ramah S Sagayer | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-25 |
| 1750911293 | Anya Krmpotich Corcoran | Physician Assistant | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-23 |
| 1386283653 | Kristina Hivrenko | Dental Hygienist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-03 |
| 1629617030 | Hailey Marie Heilman | Registered Nurse | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-02 |
| 1174166557 | Community Health Association of Spokane | Pharmacy | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2019-10-18 |
| 1316502263 | Emily Louise Orth | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2019-05-07 |
| 1932687076 | Danielle Elaine Halverson | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2018-07-31 |
| 1235615105 | Nicole Leeann Jacobson | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2018-07-13 |
| 1104311851 | Jae Heung Ha | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| 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 |
|---|---|---|---|---|
| 1497228449 | Theresa Ann Loe | Dental Hygienist | 2112 W Riverside Ave Apt 3, Spokane, WA 99201-1431 | 2019-01-02 |
| 1811399108 | Anna Zubarev | Dental Hygienist | 1612 E 7th Ave Apt B, Spokane, WA 99202-3324 | 2014-09-18 |
| 1669716965 | Parrish Renee Strong | Dental Hygienist | 4010 E 41st Ave, Spokane, WA 99223-6007 | 2012-11-27 |
| 1013270396 | Susan Lyn Mcdowell | Dental Hygienist | 4610 N Ash St Ste 201, Spokane, WA 99205-1482 | 2012-06-21 |
| 1073789442 | Gail Ann Heacox | Dental Hygienist | 1616 N Sand Brook St, Spokane, WA 99224-5092 | 2008-05-05 |
| 1023284825 | Becky J Bly | Dental Hygienist | 6509 N Stevens St, Spokane, WA 99208-4006 | 2008-05-02 |
| 1508052135 | Jackie Rae Kunkle | Dental Hygienist | 8712 One Half E Maringo Dr, Spokane, WA 99212-1822 | 2007-09-18 |
| 1386283653 | Kristina Hivrenko | Dental Hygienist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-03 |
| 1629619754 | Irina Ivan Ialanji | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-09-30 |
| 1104475797 | Michelle Florin | Dental Hygienist | 203 N Washington St Ste 300, Spokane, WA 99201-0254 | 2019-09-06 |
| Find all providers in SPOKANE | ||||
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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.