TAMARA ELLINGSON (NPI# 1790292035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790292035 |
| Entity Type | Individual |
| Full Name | TAMARA ELLINGSON |
| Practice Address |
636 Broadway St Ne Minneapolis MN 55413-2164 |
| Practice Telephone | 6127461530 |
| Practice Fax Number | 6127461531 |
| Mailing Telephone | 6127461530 |
| Mailing Fax Number | 6127461531 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H5941 | MN | Dental Providers |
| Street Address |
636 BROADWAY ST NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225193741 | Azar Hemmaty | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2150 | 2006-12-26 |
| 1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
| 1568071140 | Alyson Farley | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-07-29 |
| 1558835652 | Sara Ann Nelson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2019-01-11 |
| 1164902847 | Melissa Jo Casper | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2151 | 2018-08-21 |
| 1356836761 | Megha Harenkumar Agrawal | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-06-27 |
| 1518459072 | Sara M Smith | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413 | 2018-05-31 |
| 1073013322 | Nicole Mathew | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-13 |
| 1447759261 | Vanessa Anderson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-07 |
| 1285141515 | Sylvia Romosz | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| 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 |
|---|---|---|---|---|
| 1114327152 | Marla Harris | Dental Hygienist | 5033 Vincent Ave N, Minneapolis, MN 55430-3343 | 2014-08-27 |
| 1134487572 | Michele Angela Hanson | Dental Hygienist | 2836 28th Ave S, Minneapolis, MN 55406-1514 | 2012-04-23 |
| 1558438770 | Melissa Rose Thorne | Dental Hygienist | 2534 Hennepin Ave S, Isles Dental, Minneapolis, MN 55405 | 2006-11-30 |
| 1720610918 | Rachel Lehman | Dental Hygienist | 1315 E 24th St, Minneapolis, MN 55404-3975 | 2020-02-06 |
| 1871156166 | Danielle Marie Rodgers | Dental Hygienist | 2900 Chicago Ave, Minneapolis, MN 55407-1322 | 2019-04-22 |
| 1558835652 | Sara Ann Nelson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2019-01-11 |
| 1164902847 | Melissa Jo Casper | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2151 | 2018-08-21 |
| 1447759261 | Vanessa Anderson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-07 |
| 1285141515 | Sylvia Romosz | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-01-09 |
| 1831606169 | Jacqueline Hasbargen | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-01-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
Please comment or provide details below to improve the information on TAMARA ELLINGSON.
| 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.