AMURI BARBOSA (NPI# 1891940656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891940656 |
| Entity Type | Individual |
| Full Name | AMURI BARBOSA |
| Credential | DENTAL HYGIENIST |
| Practice Address |
64 Black Rock Ave Bridgeport CT 06605-1200 |
| Mailing Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Practice Telephone | 2035795000 |
| Practice Fax Number | 2035795113 |
| Mailing Telephone | 2033336864 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 007180 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 007180 | 01 |
| Street Address |
64 BLACK ROCK AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269705 | Kris Kotsay | Dentist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2005-10-20 |
| 1063942555 | Keitra Thompson | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2017-06-15 |
| 1497283295 | Jenifer Schmitz | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605 | 2017-05-24 |
| 1093256091 | Miriam Feinstein | Physician Assistant | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2017-03-10 |
| 1265828818 | Theresa Integral Dy Djama | Podiatrist | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2015-04-10 |
| 1154722403 | Marlene St Juste | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2014-09-05 |
| 1245647486 | Lissette I Cruz | Physician Assistant | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2014-07-21 |
| 1891123220 | Nicole Callagy | Nurse Practitioner | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2013-10-22 |
| 1063853638 | Aswani Daraboina | Internal Medicine | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2013-07-11 |
| 1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| 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 |
|---|---|---|---|---|
| 1417099680 | Karen Sue Williams | Dental Hygienist | 30 Hazel Street, Bridgeport, CT 06604-5715 | 2007-02-13 |
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1235790296 | Hudson I Hector | Dental Hygienist | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-06-20 |
| 1740735026 | Michelle Lane | Dental Hygienist | 1015 Columbia, Bridgeport, WA 98813 | 2016-08-17 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1568726784 | Castelin Decamps | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-07-03 |
| 1366720013 | Susan M. Miklos | Dental Hygienist | 126 Park Ave, Bridgeport, CT 06604-7620 | 2011-07-29 |
| 1629303813 | Shauna Khan | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2009-10-06 |
| 1144411000 | Lisa O'connor | Dental Hygienist | 361 Bird St, Bridgeport, CT 06605-2804 | 2007-08-06 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
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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.