DR. SUSAN JANE ANTONY (NPI# 1023028305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023028305 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JANE ANTONY |
| Credential | DDS |
| Practice Address |
17675 Sw Tualatin Valley Hwy Beaverton OR 97006-4443 |
| Practice Telephone | 5032593160 |
| Practice Fax Number | 5032593169 |
| Mailing Telephone | 5032593160 |
| Mailing Fax Number | 5032593169 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D6943 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340277 | Susan - Antony | Pharmacist | 1602 Garth Rd, Baytown, TX 77520-2410 | 2005-07-21 |
| Street Address |
17675 SW TUALATIN VALLEY HWY |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750300687 | Samuel Gottlieb | Dentist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2006-07-19 |
| 1487291043 | Jamie Lee Story | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2019-12-03 |
| 1700421583 | Francisca Yac Riscajche | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2019-11-15 |
| 1043751415 | Jesse Treanor | Dental Hygienist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2017-03-17 |
| 1578015855 | Kaiser Foundation Health Plan of The Northwest | Dentist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2016-11-02 |
| 1285180786 | Ann Archer | Dental Hygienist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2016-08-25 |
| 1639541816 | Samantha Forst | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2015-10-27 |
| 1588036818 | Christina Swayne | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2015-10-26 |
| 1164855896 | Bridget Madeline Lambert | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2013-08-16 |
| 1770915084 | Krista V Brandt | Dental Assistant | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2013-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| 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 |
|---|---|---|---|---|
| 1174677256 | Richard P Hsu | Dentist | 1789 Nw 173rd Ave, Beaverton, OR 97006 | 2007-01-23 |
| 1750451555 | Charles Richard Dtaley | Dentist | 14495 Sw Allen Blvd, Beaverton, OR 97005-4427 | 2006-11-09 |
| 1770584419 | Eric A Downey | Dentist | 14795 Sw Murray Scholls Dr, Suite 116, Beaverton, OR 97007-9713 | 2005-08-03 |
| 1184156952 | Chloe Mai | Dentist | 1789 Nw 173rd Ave, Beaverton, OR 97006 | 2017-03-31 |
| 1386985489 | Richard Hsu, Dm., PC | Dentist | 1789 Nw 173rd Ave, Beaverton, OR 97006-4817 | 2013-03-14 |
| 1033424411 | Ashley Puleo Schaaf | Dentist | 14795 Sw Murray Scholls Dr, Suite 116, Beaverton, OR 97007-9713 | 2010-08-10 |
| 1194953323 | Piper Lynn Huber | Dentist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4443 | 2009-06-25 |
| 1720262322 | Murrayhill Pediatric Dentistry P.C. | Dentist | 14795 Sw Murray Scholls Dr, Suite #116, Beaverton, OR 97007-9713 | 2007-12-19 |
| 1467572131 | Ronald Zirkle | Dentist | 16155 Nw Cornell Rd, Suite 450, Beaverton, OR 97006-4810 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297279 | Dennis M Dunne Dds PC | Dentist | 1600 Executive Pkwy Ste 350, Eugene, OR 97401-7110 | 2020-02-20 |
| 1225678139 | Eric E Jacobsen Dds PC | Dentist | 19502 Molalla Ave Ste 109, Oregon City, OR 97045-4513 | 2020-01-08 |
| 1982168506 | Anthony Frank Vinciguerra | Dentist | 37315 Second St, Nehalem, OR 97131-9679 | 2019-01-28 |
| 1114493582 | Matt W Anderson Dds PC | Dentist | 2215 Willamette St Ste A, Eugene, OR 97405-3341 | 2018-10-23 |
| 1366923245 | Big Tooth Little Tooth Pediatric Dentistry PC | Dentist | 2020 8th Ave Ste 121, West Linn, OR 97068-4657 | 2018-08-28 |
| 1578057618 | Bittner & Flann LLC | Dentist | 17680 Sw Handley St Ste 201, Sherwood, OR 97140-9299 | 2018-06-21 |
| 1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
| 1053812081 | Armin Afshar | Dentist | 201 Se Washington St Ste A, Dallas, OR 97338-2860 | 2018-02-25 |
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1790225399 | Childrens Dentistry | Dentist | 515 W Idaho Ave, Ontario, OR 97914-2348 | 2017-03-01 |
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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.