KIMBERLEY DAWN EVANS (NPI# 1861690224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861690224 |
| Entity Type | Individual |
| Full Name | KIMBERLEY DAWN EVANS |
| Credential | HYGIENIST |
| Practice Address |
1970 University Ave Riverside CA 92507-5202 |
| Practice Telephone | 9512760668 |
| Practice Fax Number | 9519289578 |
| Mailing Telephone | 9512760668 |
| Mailing Fax Number | 9513289578 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10774 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | FHC70865F | 01 |
| CA | DELTA DENTAL | G98054-04 | 01 |
| CA | DELTA DENTAL | G98054-02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396840500 | Kimberley Dorene Evans | Internal Medicine | 1227 S Myrtle Ave, Clearwater, FL 33756-3469 | 2006-09-13 |
| 1821096124 | Kimberley Ann Evans | Registered Nurse | 540 Baxter Ave, Louisville, KY 40204-1154 | 2005-07-11 |
| 1841540952 | Kimberley Evans | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2012-09-17 |
| 1447333604 | Kimberley J. J. Evans | Internal Medicine | Duke University Medical Ctr, Durham, NC 27710-0001 | 2006-10-23 |
| Street Address |
1970 UNIVERSITY AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528121357 | Valeria Pereira | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2006-12-19 |
| 1972048601 | Cynthia Maria Zavala | Nurse Practitioner | 1970 University Ave, Riverside, CA 92507-5202 | 2017-01-04 |
| 1093149783 | Felipe Mendez Cendejas | Physician Assistant | 1970 University Ave, Riverside, CA 92507-5202 | 2013-08-29 |
| 1790075315 | Borrego Community Health Foundation | Clinic/Center | 1970 University Ave, Riverside, CA 92507-5202 | 2011-04-15 |
| 1578761193 | Mak Nai Dohr | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-05 |
| 1255538252 | Mitsuko Murata | Dental Hygienist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-07-02 |
| 1689896326 | Robert B Martin | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-05-03 |
| 1609996107 | Maria Salve Bueno | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-03-29 |
| 1558419945 | Philip A Bradford | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-01-08 |
| 1053469379 | Community Health Systems | Dentist | 1970 University Ave, Riverside, CA 92507-5202 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1689130064 | Kyle Andrew Shackelford | Dental Hygienist | 6165 Valley Springs Pkwy Ste E, Riverside, CA 92507-0955 | 2019-02-11 |
| 1376993766 | Olga Rubalcava | Dental Hygienist | 5911 Steve St, Riverside, CA 92509-4784 | 2016-06-15 |
| 1356718217 | Jennifer Weitzel | Dental Hygienist | 7611 Lippizan Dr, Riverside, CA 92509-5326 | 2015-08-26 |
| 1679822209 | Marcia Espinoza | Dental Hygienist | 375 Central Ave, 58, Riverside, CA 92507 | 2012-08-29 |
| 1770882854 | Selina Marie Armenta | Dental Hygienist | 17529 Burl Hollow Dr, Riverside, CA 92504-8847 | 2011-03-15 |
| 1194977751 | Jean Margaret Honny | Dental Hygienist | 18775 Chickory Dr, Riverside, CA 92504-9526 | 2008-10-15 |
| 1144853532 | Austin Cardenas | Dental Hygienist | 3380 La Sierra Ave Ste 108, Riverside, CA 92503-5225 | 2020-02-13 |
| 1609390178 | Chimera Charmaine Williams | Dental Hygienist | 3630 Central Ave Ste 6, Riverside, CA 92506-5903 | 2017-07-27 |
| 1639426125 | Amber Elaine Bowen | Dental Hygienist | 7154 Magnolia Ave, Riverside, CA 92504-3804 | 2012-08-14 |
| 1730435207 | Brenda P Powers | Dental Hygienist | 7154 Magnolia Ave, Riverside, CA 92504-3804 | 2012-08-01 |
| Find all providers in RIVERSIDE | ||||
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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.