ELIZABETH BAKER BORTELL (NPI# 1992894190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992894190 |
| Entity Type | Individual |
| Full Name | ELIZABETH BAKER BORTELL |
| Credential | D.D.S. |
| Practice Address |
2924 Brook Rd Credentialing Dept Richmond VA 23220-1215 |
| Practice Telephone | 8043217474 |
| Practice Fax Number | 8042285970 |
| Mailing Telephone | 8043217474 |
| Mailing Fax Number | 8042285970 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401410308 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PROFESSIONAL LICENSE | 0401410308 | 01 |
| Street Address |
2924 BROOK RD CREDENTIALING DEPT |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258589 | Crippled Children's Hospital | General Acute Care Hospital | 2924 Brook Rd, Richmond, VA 23220-1215 | 2006-05-03 |
| 1104454271 | Zoe Amanda Levenson | Social Worker | 2924 Brook Rd, Richmond, VA 23220-1215 | 2020-04-01 |
| 1053672469 | Jessica Zinder Lynn | Occupational Therapist | 2924 Brook Rd, Children's Hospital of Richmond @ Vcu, Richmond, VA 23220-1215 | 2012-06-01 |
| 1164783585 | Christine Johnson Popp | Speech-Language Pathologist | 2924 Brook Rd, Children's Hosp of Richmond @ Vcu Credentilaing Dept, Richmond, VA 23220-1215 | 2012-06-01 |
| 1114286366 | Sangita Suresh Kling | Dietitian, Registered | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-05-09 |
| 1831462233 | Heather Ann Downing | Physical Therapist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-02-15 |
| 1376815118 | Natalie Nicole Dmitrovich | Speech-Language Pathologist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-02-08 |
| 1386916443 | Kori A. Harrow | Speech-Language Pathologist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-02-06 |
| 1497026678 | Caitlin Boyle Trumbore | Nurse Practitioner | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2012-01-20 |
| 1528337623 | Stephanie Ann Keen-pilecki | Occupational Therapist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2011-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| 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 |
|---|---|---|---|---|
| 1578115275 | H&a Orthodontics | Dentist | 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 | 2019-07-12 |
| 1528627916 | Petite Smiles Pediatric Dentistry, Pllc | Dentist | 11131 Harlem Rd, Suite 120, Richmond, TX 77406 | 2019-06-10 |
| 1144627555 | David W Merrell Dds Msd Plc | Dentist | 12205 Gayton Road, Suite A, Richmond, VA 23238-3212 | 2014-12-01 |
| 1356559777 | Jeffrey Lucas Bowen | Dentist | 120 Meridian Way, Suite 2, Richmond, KY 40475 | 2007-05-18 |
| 1396890927 | Rhonda H. Cormney | Dentist | 519 Hampton Way Ste 1, Richmond, KY 40475-8885 | 2007-01-24 |
| 1548334071 | William O Dahlke Jr. | Dentist | 521 N 11th St Ste 305, Richmond, VA 23298 | 2006-11-17 |
| 1619054939 | James M Keeton Jr. | Dentist | 7410 Hull Street Rd, Richmond, VA 23235-5834 | 2006-11-01 |
| 1295825123 | Jack J. Reynolds Jr. | Dentist | 1002 Oak Dr, Richmond, IN 47374-1916 | 2006-10-13 |
| 1861597718 | Hayden R. Phillips | Dentist | 1012 Ival James Blvd, C, Richmond, KY 40475-8174 | 2006-09-14 |
| 1093819013 | Jeffrey Patrick Blair | Dentist | 12205 Gayton Rd, Richmond, VA 23238-3219 | 2006-09-11 |
| Find all providers in RICHMOND | ||||
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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.