JENNIFER B BORDEN (NPI# 1912937731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912937731 |
Entity Type | Individual |
Full Name | JENNIFER B BORDEN |
Credential | D.M.D. |
Practice Address |
167 North Main Street Tuba City AZ 86045-0600 |
Practice Telephone | 9282832501 |
Mailing Telephone | 9282832501 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2012-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30.020525 | OH | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | DD1917 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396268231 | Jennifer Michelle Borden | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2017-07-24 |
1316469422 | Jennifer Borden | Speech-Language Pathologist | 7011 Crider Rd, Mars, PA 16046-2383 | 2017-07-11 |
1831455120 | Jennifer Robyn Borden | Counselor | 1600 7th Ave, Troy, NY 12180-3410 | 2012-04-11 |
1407842750 | Jennifer Lynn Borden | Family Medicine | 3044 Route 50, Saratoga Springs, NY 12866-2906 | 2005-09-22 |
Street Address |
167 NORTH MAIN STREET |
City | TUBA CITY |
State | AZ |
Zip Code | 86045-0600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
Find all providers in zip 86045 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
1033750724 | Mesa Valley Dental LLC | Dentist | 1220 S Higley Rd Ste 206, Mesa, AZ 85206-4002 | 2019-10-03 |
1942841663 | Mesa Kidtastic Dental LLC | Dentist | 1240 W Southern Ave Ste 112, Mesa, AZ 85202-4882 | 2019-10-03 |
1497396170 | Gilbert Kidtastic Dental LLC | Dentist | 3303 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8532 | 2019-10-03 |
1386207785 | Cattron's Dmd, Pllc | Dentist | 4024 E Guadalupe Rd Ste 105, Gilbert, AZ 85234-7672 | 2019-04-21 |
1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1568957199 | Maureen Malingkas | Dentist | 8248 W Deer Valley Rd, Peoria, AZ 85382-2198 | 2018-06-26 |
1407344567 | Kids Dental Group Pllc | Dentist | 6239 E Brown Rd Ste 102, Mesa, AZ 85205-4933 | 2018-04-24 |
1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
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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.