KIMBERLY MISAKO TAYLOR (NPI# 1841572716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841572716 |
| Entity Type | Individual |
| Full Name | KIMBERLY MISAKO TAYLOR |
| Credential | EFDA, EFODA |
| Practice Address |
1900 Mcloughlin Blvd Ste 68 Oregon City OR 97045-1072 |
| Practice Telephone | 5033878000 |
| Practice Fax Number | 5033878005 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PTDA | 126800000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798776 | Kimberly R Taylor | Counselor | 11646 Greensbrook Garden Dr, Houston, TX 77044-7212 | 2020-10-21 |
| 1134736515 | Kimberly Taylor | Technician | 337 Rosemont Road, Hanover, WV 24839 | 2020-09-29 |
| 1407492192 | Kimberly M Taylor | Massage Therapist | 7709 Maxroy St, Houston, TX 77088-6005 | 2019-11-18 |
| 1356832109 | Kimberly Taylor | Behavioral Analyst | 22 Jacobs Walk, Lakeland, GA 31635-5741 | 2018-05-27 |
| 1639685639 | Kimberly Nicole Taylor | Licensed Practical Nurse | 635 Hampshire Dr, Brandon, MS 39047-7797 | 2017-12-28 |
| 1215442694 | Kimberly Veronica Taylor | Technician | 3121 Newton St Ne, Washington, DC 20018-4023 | 2017-12-07 |
| 1477067296 | Kimberly Kaye Taylor | Counselor | 96587 Otter Run Dr, Fernandina Beach, FL 32034-1157 | 2017-12-01 |
| 1881047322 | Kimberly Taylor | Voluntary or Charitable | 491 Nelson Dr Apt 15, Newport News, VA 23601-3430 | 2016-07-20 |
| 1962761171 | Kimberly Taylor | Rehabilitation Practitioner | 6437 Home Run Dr, Las Vegas, NV 89130-1717 | 2012-05-08 |
| 1821360173 | Kimberly Dawn Taylor | Massage Therapist | 13814 Sw 110th Ave, Tigard, OR 97223-3882 | 2012-02-02 |
| Street Address |
1900 MCLOUGHLIN BLVD STE 68 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255666764 | Rachel White | Dentist | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2009-10-16 |
| 1083248074 | Nichole Jantette Wellman | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2020-02-27 |
| 1922645340 | Erin Littlepage | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-12-04 |
| 1740830124 | Kayla Tamar Stevens | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-09-17 |
| 1346701885 | Summer R Ridley | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-03-27 |
| 1477078079 | Kimberly M Boyce | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2017-08-04 |
| 1619229705 | Rebecca E Grandi-smith | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2012-10-12 |
| 1548542368 | Christina Elizabeth Foster | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-16 |
| 1033491907 | Celeste Servo | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-15 |
| 1093097958 | Kaiser Permanente | Clinic/Center | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1922418995 | Anna Servo | Dental Assistant | 1900 Se Mcloughlin Blvd, Suite 68, Oregon City, OR 97045 | 2014-04-30 |
| 1083248074 | Nichole Jantette Wellman | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2020-02-27 |
| 1922645340 | Erin Littlepage | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-12-04 |
| 1740830124 | Kayla Tamar Stevens | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-09-17 |
| 1346701885 | Summer R Ridley | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2019-03-27 |
| 1477078079 | Kimberly M Boyce | Dental Assistant | 1900 Mcloughlin Blvd Ste 68, Oregon City, OR 97045-1072 | 2017-08-04 |
| 1386096758 | Stacey Bucklein | Dental Assistant | 1900 Mcloughlin Blvd, Suite 68, Oregon City, OR 97045-1067 | 2016-07-08 |
| 1356708523 | Stacy Wood | Dental Assistant | 1900 Mcloughlin Blvd, Suite 68, Oregon City, OR 97045-1067 | 2016-01-19 |
| 1144693987 | Shauna Marie Mcglone | Dental Assistant | 1900 Mcloughlin Blvd, Oregon City, OR 97045-1067 | 2015-11-02 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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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.