Alissa C Maroney, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H7927 Issued in MN

Practice address

12425 55TH St N Ste B
Lake Elmo, MN 55042-4450

Phone

(651) 439-0322

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Ridge Dental Arts

  dba Valley Ridge Dental

  • Preferred Provider Organization
  • Lake Elmo, MN
  • NPI 1548708225
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1477294858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10757 STONEBRIDGE TRL N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829569",
            "telephone_number": "651-491-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 55TH ST N STE B",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550424450",
            "telephone_number": "651-439-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONEY",
        "first_name": "ALISSA",
        "middle_name": "C",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H7927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LW Care LLC
• Alexander Maas
• Maryan Mahamoud
• Mahtomedi Dental P.C. (Grace Dental)
• Leslie Markowitz, PSYD, LP, BCBA
• Mark J Mayry, CRNA
• Sarah McCauley, LMFT
• Rebecca McCraw, MA, LPC
• William James McCraw, MA
• McGann Family Dental

• Dental Hygienist in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.