MRS. KEISHA DENISE PARKS (NPI# 1932502077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932502077 |
| Entity Type | Individual |
| Full Name | MRS. KEISHA DENISE PARKS |
| Credential | RDH |
| Practice Address |
5379 Crane St Detroit MI 48213-2918 |
| Practice Telephone | 3134058972 |
| Mailing Telephone | 3134058972 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902015144 | MI | Dental Providers |
| Street Address |
5379 CRANE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| 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 |
|---|---|---|---|---|
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1174041990 | Doris D Ogburn | Dental Hygienist | 4727 St Antoine Street, Suite 408, Detroit, MI 48201 | 2017-08-31 |
| 1902338635 | Armanda Hendricks | Dental Hygienist | 3646 Mt Elliott St, Detroit, MI 48207 | 2017-03-31 |
| 1760857387 | Cheryl Lynn Hewison | Dental Hygienist | 4727 St. Antoine St., Ste 408, Detroit, MI 48201 | 2015-12-08 |
| 1760876270 | Angela Bernard | Dental Hygienist | 14164 Abington Ave, Detroit, MI 48227-1304 | 2015-03-23 |
| 1053748889 | Dental Hygiene Visiting Services | Dental Hygienist | 38 Adelaide St, Detroit, MI 48201-3111 | 2013-10-12 |
| 1942567722 | Jaclyn Smith | Dental Hygienist | 19173 Santa Barbara Dr, Detroit, MI 48221-1624 | 2012-04-18 |
| 1023399607 | Sabrina Latrice Basley | Dental Hygienist | 7633 E Jefferson Ave Ste 70, Detroit, MI 48214-3730 | 2011-09-08 |
| 1962704668 | Sheila Inez Upshaw-flowers | Dental Hygienist | 18616 W. Mcnichols, Your Family Dentist, Detroit, MI 48219 | 2010-12-01 |
| 1386955136 | Sweet Smiles Dental Solutions | Dental Hygienist | 19950 Manor St, Detroit, MI 48221-1040 | 2010-06-27 |
| Find all providers in DETROIT | ||||
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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.