JAMES L. GARRETT (NPI# 1124110036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124110036 |
| Entity Type | Individual |
| Full Name | JAMES L. GARRETT |
| Credential | D.D.S. |
| Practice Address |
1105 Se Jetty Ave B Lincoln City OR 97367-2632 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 5419943528 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23929 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03906F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396215703 | James Robert Garrett | Nurse Practitioner | 3790 Old Us Highway 41 N Ste B, Valdosta, GA 31602-6866 | 2018-11-28 |
| 1780855536 | James Garrett | Acupuncturist | 6054 Rhodes Ave, North Hollywood, CA 91606-4628 | 2008-03-20 |
| 1326167024 | James Wilmer Garrett | Dentist | 1215 E 6th St, Moscow, ID 83843-3705 | 2007-03-27 |
| 1366596389 | James P Garrett | Chiropractor | 3415 S Mcclintock, Suite 101, Tempe, AZ 85282 | 2007-01-23 |
| 1447681218 | James Wesley Garrett | Physician Assistant | 790 Church St Ne, Ste 400, Marietta, GA 30060-7282 | 2013-12-04 |
| 1265793582 | James Lawrence Garrett | Dentist | 7301 State Highway 161 Ste 198, Irving, TX 75039-2880 | 2012-06-04 |
| 1184910838 | James Bryan Garrett | Dentist | 1505 Emerald Plz, College Station, TX 77845-1501 | 2011-06-21 |
| 1366689945 | James Daniel Garrett Jr. | Nurse Anesthetist, Certified Registered | 76 Peachtree Road, Suite 300, Asheville, NC 28803-3505 | 2009-01-19 |
| 1033395363 | James W Garrett | Counselor | 330 E Main St, Suite 215, Barrington, IL 60010-3203 | 2008-01-16 |
| 1275667073 | James Kevin Garrett | Counselor | 433 Turk St, San Francisco, CA 94102-3329 | 2007-03-15 |
| Street Address |
1105 SE JETTY AVE B |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925092 | Lincoln City Immediate Care | Clinic/Center | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2006-06-28 |
| 1790138642 | Crystal Kelso | Dentist | 1105 Se Jetty Ave, #b, Lincoln City, OR 97367-2632 | 2016-07-15 |
| 1982030458 | Jennifer Drayton | Nurse Practitioner | 1105 Se Jetty Ave, Lincoln City, OR 97367-2632 | 2013-09-17 |
| 1811238322 | Northwest Medical Foundation of Tillamook | General Acute Care Hospital | 1105 Se Jetty Ave, Lincoln City, OR 97367-2632 | 2013-03-07 |
| 1336455146 | Brian Craig Handley | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-08-31 |
| 1871819573 | Albert P. Thompson | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| 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 |
|---|---|---|---|---|
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1154774677 | Crisdental Lincoln City, LLC | Dentist | 2604 Ne Highway 101, Lincoln City, OR 97367-4460 | 2016-07-20 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1225178700 | Paul M. Jensen | Dentist | 1120 Se 1st St, Lincoln City, OR 97367-2803 | 2007-02-07 |
| 1790138642 | Crystal Kelso | Dentist | 1105 Se Jetty Ave, #b, Lincoln City, OR 97367-2632 | 2016-07-15 |
| 1639360365 | Dewayne C Bowman | Dentist | 2825 Ne W Devils Lk Rd, Lincoln City, OR 97367-5128 | 2007-08-07 |
| 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 | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.