HEALTHY SMILES, INC. (NPI# 1861720245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861720245 |
| Entity Type | Organization |
| Organization Name | HEALTHY SMILES, INC. |
| Practice Address |
63407 130th Ave Claremont MN 55924-4656 |
| Practice Telephone | 5073196845 |
| Mailing Telephone | 5073196845 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | SHANNON MARIE KRUCKEBERG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5073196845 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093853673 | Healthy Smiles, Inc. | Dentist | 2005 W Addison St, Chicago, IL 60618-6101 | 2007-02-03 |
| Street Address |
63407 130TH AVE |
| City | CLAREMONT |
| State | MN |
| Zip Code | 55924-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003002882 | Shannon Marie Kruckeberg | Dental Hygienist | 63407 130th Ave, Claremont, MN 55924-4656 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760782494 | Dawn Michelle Nuss | Counselor | 13788 630th St, Claremont, MN 55924-4614 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433432 | Jessica E Macleod | Psychologist | 165 Broad St # 65, Claremont, NH 03743-3611 | 2020-09-30 |
| 1891301214 | Sharon Samantha Stannislaus | Student in an Organized Health Care Education/Training Program | 604 Richbrook Dr, Claremont, CA 91711-3646 | 2020-09-21 |
| 1013523786 | Lauryn Berretta | Student in an Organized Health Care Education/Training Program | 114 Windsor Rd, Claremont, NH 03743-4117 | 2020-09-18 |
| 1093321036 | Jennifer Maynard | Speech-Language Pathologist | 160 Hanover St, Claremont, NH 03743 | 2020-09-16 |
| 1699380816 | Goldsmith Psychology, Inc | Counselor | 101 N Indian Hill Blvd Ste C2-202, Claremont, CA 91711-4670 | 2020-09-14 |
| 1073127197 | Michelle Leah Ginsberg | Dentist | 4517 Liveoak Dr, Claremont, CA 91711-2104 | 2020-09-04 |
| 1184237372 | Nicollette Sokoeun Buth | Nurse Practitioner | 1426 Fergus Fls, Claremont, CA 91711-8316 | 2020-08-26 |
| 1518575265 | Gaston Family Health Services, Inc. | Clinic/Center | 4675 Oxford School Rd, Claremont, NC 28610-9468 | 2020-07-20 |
| 1285251520 | Stephanie Minami | Dietitian, Registered | 532 Chouinard Cir, Claremont, CA 91711-2232 | 2020-07-02 |
| 1841812336 | Giana, LLC | Assisted Living Facility | 4263 La Junta Dr, Claremont, CA 91711-2351 | 2020-05-07 |
| Find all providers in CLAREMONT | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811331507 | Foothill Aids Project | Voluntary or Charitable | 233 Harrison Ave, Claremont, CA 91711-4324 | 2013-04-24 |
| 1366720096 | Foothill Aids Project | Voluntary or Charitable | 233 Harrison Ave, Claremont, CA 91711-4324 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118438 | Phoenix | Voluntary or Charitable | 6697 Elm St, North Branch, MN 55056-7045 | 2020-09-11 |
| 1174140925 | Community Integrated Family Care Advocates | Voluntary or Charitable | 11114 Almond Dr, Grey Eagle, MN 56336-4643 | 2020-06-28 |
| 1235764465 | Age Well Arrowhead Inc. | Voluntary or Charitable | 306 W Superior St Ste 10, Duluth, MN 55802-5025 | 2020-03-09 |
| 1316476864 | Changing Gaits Inc. | Voluntary or Charitable | 27274 Monument Rd, Brook Park, MN 55007-2196 | 2017-06-08 |
| 1386189801 | On-site Dentistry | Voluntary or Charitable | 7600 France Ave. S., Suite 1100, Edina, MN 55130-5924 | 2016-12-20 |
| 1659822286 | Floodwood Services & Training, Inc. | Voluntary or Charitable | 601 Ash St, Floodwood, MN 55736-8177 | 2016-10-19 |
| 1598215295 | Faith In Action for Cass County | Voluntary or Charitable | 120 Whipple Ave E, Suite B, Hackensack, MN 56452 | 2016-10-06 |
| 1740639814 | Expresslanguageservices | Voluntary or Charitable | 1116 Deerwood Ln, Faribault, MN 55021-1921 | 2016-06-08 |
| 1730582024 | Amira Ahmed | Voluntary or Charitable | 308 Prince St Ste 258, Saint Paul, MN 55101-1437 | 2014-10-01 |
| 1154737278 | Deaf & Immigrant Center for Education | Voluntary or Charitable | 3708 36th Ave S, Minneapolis, MN 55406-2756 | 2014-07-09 |
| Find all providers with the same taxonomy | ||||
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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.