DR. BRUCE SCHWANDT (NPI# 1083721831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083721831 |
| Entity Type | Individual |
| Full Name | DR. BRUCE SCHWANDT |
| Credential | DDS |
| Practice Address |
48 Ne 11th St Madras OR 97741-1865 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 6299995014 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D11072 | OR | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30695 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 709 Center Dr, Ste. 101, San Marcos, CA 920693536 | 7607462045 | 7607462033 |
| Street Address |
48 NE 11TH ST |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053815126 | Cambria Curran | Dental Hygienist | 48 Ne 11th St, Madras, OR 97741-1865 | 2018-03-22 |
| 1619318292 | Ashley Nichols | Dental Hygienist | 48 Ne 11th St, Madras, OR 97741-1865 | 2013-07-11 |
| 1548434608 | Gary Dehm, Dmd | Clinic/Center | 48 Ne 11th St, Madras, OR 97741-1865 | 2008-04-18 |
| 1437367695 | Gary Dehm | Dentist | 48 Ne 11th St, Madras, OR 97741-1865 | 2007-05-20 |
| 1942389135 | Tyler Jason Higbee | Dentist | 48 Ne 11th St, Madras, OR 97741-1865 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265512172 | Wayne Thomas Schultz | Dentist | 611 Se 5th St, Madras, OR 97741-1506 | 2006-10-16 |
| 1053404194 | Adam J Zangrillo | Dentist | 376 Ne Oak St, Madras, OR 97741-1850 | 2006-10-02 |
| 1881719631 | Schultztoms LLC | Dentist | 611 Se 5th St, Madras, OR 97741-1506 | 2007-03-20 |
| 1891860623 | Andrew Scott Toms | Dentist | 611 Se 5th St, Madras, OR 97741-1506 | 2006-11-21 |
| 1942389135 | Tyler Jason Higbee | Dentist | 48 Ne 11th St, Madras, OR 97741-1865 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1609489137 | Open Door Dental Group PC | Dentist | 1710 E Pine St Ste A, Central Point, OR 97502-2811 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.