MS. CONNIE L AUSTIN (NPI# 1821520487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821520487 |
Entity Type | Individual |
Full Name | MS. CONNIE L AUSTIN |
Credential | DDS |
Practice Address |
333 Laws Ave Ukiah CA 95482-6540 |
Practice Telephone | 7074634556 |
Mailing Telephone | 7074634556 |
Mailing Fax Number | 6019846039 |
Enumeration Date | 2017-03-31 |
Last Update Date | 2019-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
102740 | CA | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
102740 | CA | Dental Providers |
N | 124Q00000X | Dental Hygienist | 11165 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235458449 | Connie Austin | Counselor | 2821 Klempner Way, Louisville, KY 40205-4203 | 2010-05-27 |
Street Address |
333 LAWS AVE |
City | UKIAH |
State | CA |
Zip Code | 95482-6540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619970068 | Jorge Anibal Allende Jr. | Internal Medicine | 333 Laws Ave, Ukiah, CA 95482-6540 | 2005-05-31 |
1386262921 | Juliann Elizabeth Joseph | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2020-07-09 |
1164077038 | Neha Sharma | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2019-08-07 |
1053890905 | Liliane Robison | Nurse Practitioner | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-08-11 |
1508356221 | Stuart Christian Mauger | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-05-17 |
1831689025 | Kathryn Marie Manchester | Registered Nurse | 333 Laws Ave, Ukiah, CA 95482 | 2018-05-14 |
1457855942 | Phuc Cong Tran | Dentist | 333 Laws Ave, Ukiah, CA 95482 | 2018-03-20 |
1730600859 | Yesica Jaimes Mendoza | Health Educator | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-06-28 |
1629503727 | Terese O'connell | Dietitian, Registered | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-04-26 |
1306397674 | Rebecca Jean Johnson | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2016-10-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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Taxonomy Code | 1223D0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dental Public Health |
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740216 | Thomas Robert Matthew Simpson | Dentist | 1387 Kirsten Ct, Red Bluff, CA 96080-4905 | 2020-11-05 |
1629683339 | Jisoo Choe | Dentist | 232 E 2nd St Apt 451, Los Angeles, CA 90012-4098 | 2020-09-10 |
1831703479 | Seville Dental Group, Inc. | Dentist | 7705 Seville Ave Ste A, Huntington Park, CA 90255-6570 | 2020-09-01 |
1114537842 | Sepideh Rahmani | Dentist | 945 Orchard Creek Ln Ste 200, Lincoln, CA 95648-8473 | 2020-08-06 |
1861018160 | Dentists On Wheels | Dentist | 2210 Gladstone Dr, Pittsburg, CA 94565-5101 | 2020-06-22 |
1558997148 | S. Safarian Dmd Inc | Dentist | 955 Boardwalk Ste 304, San Marcos, CA 92078-2659 | 2020-03-16 |
1902455884 | Aileen Arce Dds Incorporated | Dentist | 345 F St Ste 140, Chula Vista, CA 91910-2632 | 2019-09-04 |
1972156420 | Jessica R Yang | Dentist | 6950 Santa Teresa Blvd Ste D, San Jose, CA 95119-1300 | 2019-07-23 |
1447811070 | Roop Mayall | Dentist | 1215 Plumas St Ste 52, Yuba City, CA 95991-3492 | 2019-06-25 |
1699242933 | Albert Young | Dentist | Naval Medical Ctr Bob Wilson Dr, San Diego, CA 92134-0001 | 2018-10-25 |
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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.