RAJEEV RUGI SIDDAPPA


Address: 740 Avenue H, Seaside, OR 97138-6619
Phone: 8339001050

RAJEEV RUGI SIDDAPPA (NPI# 1063074250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063074250
Entity Type Individual
Full Name RAJEEV RUGI SIDDAPPA
Practice Address 740 Avenue H
Seaside
OR 97138-6619
Mailing Address 9597 Central Ave
Montclair
CA 91763-2424
Practice Telephone 8339001050
Practice Fax Number 8332005256
Mailing Telephone 8339001050
Mailing Fax Number 8332005256
Enumeration Date 2019-07-08
Last Update Date 2019-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122400000X Denturist 10195475 OR Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR OREGON DEPARTMENT OF HEALTH 10195475 01

Office Location

Street Address 740 AVENUE H
City SEASIDE
State OR
Zip Code 97138-6619

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881238376 Abigail Mcneil Social Worker 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 2019-10-29
1124564455 Shelby James Massage Therapist 620 S Holladay Dr Ste 3, Seaside, OR 97138 2017-01-10
1699151902 Joseph Alphonse Sutton Pharmacist 79380 Highway 202, Seaside, OR 97138 2015-08-10
1487047197 Seaside Dental Clinic Dentist 729 S Holladay Drive, Seaside, OR 97138 2015-03-05
1215331020 Jessica Jones Massage Therapist 1601 S. Roosevelt, Seaside, OR 97138 2014-10-22
1952735987 Derk Penrod Pharmacist 401 S Roosevelt, Seaside, OR 97138 2013-08-27
1194166025 Scott Allen Kafader Pharmacist 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 2013-07-08
1326391459 Addiction Medicine Consulting Substance Abuse Rehabilitation Facility 1325 North Holladay Dr., Seaside, OR 97138 2012-10-26
1548552938 Robert W Olson Pharmacist 313 S Rosevelt Drive, Seaside, OR 97138 2011-05-04
1831395144 Delores Swigert Sullivan Social Worker 564 Pacific Way, Gearhart, OR 97138 2007-06-23
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Taxonomy Information

Taxonomy Code 122400000X
Grouping Dental Providers
Classification Denturist

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548760630 Stephen Depirro II Denturist 740 Avenue H Ste 2, Seaside, OR 97138-6603 2018-02-15
1093372039 Austin Mitchell Newsome Denturist 740 Avenue H Ste 2, Seaside, OR 97138-6619 2019-05-24
1629578539 The Smile Store, LLC Denturist 740 Avenue H Ste 2, Seaside, OR 97138-6619 2018-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316576341 Madeline M Cain Denturist 232 Ne Lincoln St Ste B, Hillsboro, OR 97124-3048 2020-04-02
1013549575 Christopher Scott Mayo Jr. Denturist 937 Chetco Ave Ste. B, Brookings, OR 97415 2020-02-12
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1770083172 Valley Denture Care LLC Denturist 535 N 5th St, Jacksonville, OR 97530-9704 2018-02-13
1407364177 Joseph Rider Denturist 1523 Nw Canal Blvd Ste 101, Redmond, OR 97756-1340 2018-01-16
1821503293 Calvin Daniel Smith Denturist 65 Irving Rd, Eugene, OR 97404 2017-12-07
1841642287 Veronika Buliga Denturist 6842 Se 66th Ave, Portland, OR 97206-7449 2016-07-11
1528435237 Lidiya Bogdan Denturist 4637 Se 128th Ave, Portland, OR 97236-3713 2015-08-28
1407243736 Kismet Winslow Denturist 553 Chetco Ln, Brookings, OR 97415-8159 2015-04-24
1851797823 Rodrigo Castano Denturist 125 Lancaster Dr. Ne, Salem, OR 97301-4104 2014-11-18
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Competitor

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City SEASIDE
Zip Code 97138

Improve Information

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Dataset Information

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.

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