MRS. BRENDA MOORE (NPI# 1952806986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952806986 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA MOORE |
| Credential | RDH |
| Practice Address |
7223 Mississippi Ave Building 2157 Fort Polk LA 71459 |
| Mailing Address |
360 Fairway Ct Fort Polk LA 71459-3121 |
| Practice Telephone | 3375314854 |
| Mailing Telephone | 9078549761 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DENH966 | AK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388306 | Brenda Gail Moore | Technician | 1441 Right Fork Bull Creek Rd, Crum, WV 25669-8081 | 2020-08-24 |
| 1386957090 | Brenda Margaret Moore | Licensed Practical Nurse | 5502 St. Rt 36, #48, Mt Morris, NY 14510 | 2010-07-22 |
| 1184865628 | Brenda Jo Moore | Massage Therapist | 3560 National Dr, Suite 100, Medford, OR 97504-4008 | 2009-03-12 |
| 1477690246 | Brenda Lesia Moore | Dentist | 908 34th Ave. N., A, Nashville, TN 37209-2502 | 2007-01-31 |
| 1356370605 | Brenda Moore | Counselor | 1906 Hwy. 54, Suite 200, Durham, NC 27713 | 2006-06-30 |
| 1902416357 | Brenda Moore | Case Manager/Care Coordinator | 42 County Center Dr, Oroville, CA 95965-3335 | 2020-07-31 |
| 1548787765 | Brenda Moore | Counselor | 305 Pacific Ave S Ste 102, Kelso, WA 98626-1638 | 2017-08-28 |
| 1679946214 | Brenda Moore | Counselor | 435 E 119th St, New York, NY 10035-3627 | 2015-11-04 |
| 1265815815 | Brenda J Moore | Counselor | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2015-07-01 |
| 1144508417 | Brenda L. Moore | Counselor | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2011-08-03 |
| Street Address |
7223 MISSISSIPPI AVE BUILDING 2157 |
| City | FORT POLK |
| State | LA |
| Zip Code | 71459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017158 | Tiffany Alexander | Dental Assistant | 1561 Mississippi Ave, Ft Polk, LA 71459 | 2018-03-22 |
| 1922524529 | Keith Allan Smiley | Dentist | 7223 Mississippi Avenue Bldg. 1561, Fort Polk, LA 71459 | 2017-08-16 |
| 1336663046 | Alexis Caitlyn Stamm | Specialist/Technologist | 5644 Bazydlo Ct, Fort Polk, LA 71459 | 2017-08-03 |
| 1538615893 | Remedios Macan Dondoyano | Physical Therapist | Bayne-jones Army Community Hospital, 1585 3rd St., Attn: Pt Department, Fort Polk, LA 71459 | 2016-08-28 |
| 1306298997 | Roslyn Faulk | Dental Assistant | 7223 Mississippi Avenut, Frot Polk, LA 71459 | 2016-07-07 |
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1255743936 | Aprille Boudreau | Counselor | 5513 B Gardner Dr., Fort Polk, LA 71459 | 2014-05-29 |
| 1407273170 | Mikaela Diana Mcmanus | Physician Assistant | Building 7318 C Ave G, Fort Polk, LA 71459 | 2014-03-19 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| 1912240755 | Taneishia S. Jones | Pediatrics | 1583 3rd Street, Fort Polk, LA 71459 | 2013-03-29 |
| Find all providers in zip 71459 | ||||
| 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 |
|---|---|---|---|---|
| 1346691888 | Joy Martin | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1184076820 | Patrick Muncy | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-07-06 |
| 1427409945 | Kim Edwards | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| 1013368562 | Sandra Thompson | Dental Hygienist | 7223 Mississippi Avenue, Fort Polk, LA 71459 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316498322 | Jaysie Hebert | Dental Hygienist | 114 Friend St, New Iberia, LA 70563-1316 | 2016-10-14 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1295175750 | Winn Community Health Center, Inc. | Dental Hygienist | 425 W Lafayette St, Winnfield, LA 71483-3463 | 2013-06-28 |
| 1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
| 1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
| 1437769817 | Felicia Ardell Posey | Dental Hygienist | 200 N Thomas Dr Ste 14, Shreveport, LA 71107-6555 | 2020-07-31 |
| 1669906251 | Diedra Brewer-hohensee | Dental Hygienist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2017-04-20 |
| 1700224813 | Sydney Nicole Kelly | Dental Hygienist | 1790 Saturn St, New Orleans, LA 70129-2270 | 2013-06-11 |
| 1245582626 | Sarah Smith | Dental Hygienist | 6351 Main St, Zachary, LA 70791-4038 | 2012-10-09 |
| 1477705630 | Shannon Trenay Benjamin | Dental Hygienist | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2008-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. BRENDA MOORE.
| 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.