MISS AMANDA R. MEDINA (NPI# 1861629099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861629099 |
| Entity Type | Individual |
| Full Name | MISS AMANDA R. MEDINA |
| Credential | DENTAL ASSISTANT |
| Practice Address |
1 Childrens Plz Suite 2070 Dayton OH 45404-1898 |
| Mailing Address |
725 Patterson Rd Apartment #2 Dayton OH 45419-4319 |
| Practice Telephone | 9376413455 |
| Mailing Telephone | 9373444291 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
00845 | OH | Dental Providers |
| Y | 126800000X | Dental Assistant | 00845 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979403 | Amanda Medina | Counselor | 1266 14th St, Oakland, CA 94607-2205 | 2018-07-26 |
| 1124440441 | Amanda Medina | Social Worker | 3491 Gandy Blvd N, Pinellas Park, FL 33781-2658 | 2014-01-07 |
| Street Address |
1 CHILDRENS PLZ SUITE 2070 |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| 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 |
|---|---|---|---|---|
| 1548497712 | Christina Moore-easley | Dental Assistant | 1 Childrens Plz, Suite 2070, Dayton, OH 45404-1898 | 2009-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013437300 | Cara Lynn Meade | Dental Assistant | 34542 State Route 541, Warsaw, OH 43844 | 2017-06-27 |
| 1811386923 | Anja Little | Dental Assistant | 7058 Corporate Way Ste 3, Centerville, OH 45459-4243 | 2015-01-13 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1245578095 | Courtney Kira Ansley | Dental Assistant | 460 E Dayton Yellow Springs Rd # 7790, Suite A, Fairborn, OH 45324-5944 | 2013-01-29 |
| 1346572252 | Jennifer Jean Bennett | Dental Assistant | 3301 Faycrest Rd, Columbus, OH 43232-5974 | 2010-02-02 |
| 1417595786 | Keara Williams | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2019-12-17 |
| 1265070536 | Brittany Jennings | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2019-12-17 |
| 1326686262 | Karli Mcmahan | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2019-12-11 |
| 1972141810 | Parris Jarrett | Dental Assistant | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2019-12-11 |
| 1952947749 | Desiree' Branson | Dental Assistant | 5818 Madison Rd, Cincinnati, OH 45227-1708 | 2019-11-27 |
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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.