DR. DENNIS GENE PERALA (NPI# 1174668156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174668156 |
Entity Type | Individual |
Full Name | DR. DENNIS GENE PERALA |
Credential | DMD |
Practice Address |
8070 Sw Hall Blvd #200 Beaverton OR 97008-6419 |
Practice Telephone | 5036441110 |
Practice Fax Number | 5036416431 |
Mailing Telephone | 5036441110 |
Mailing Fax Number | 5036416431 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2013-02-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0300X |
Dentist Specialization: Periodontics |
D8616 | WA | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
D6715 | OR | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 5036165 | 05 | |
WA | CRIME VICTIMS | 8932837 | 01 |
OR | 134580 | 05 | |
WA | LABOR & INDUSTRIES | 0141506 | 01 |
Street Address |
8070 SW HALL BLVD #200 |
City | BEAVERTON |
State | OR |
Zip Code | 97008-6419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073526620 | Robert William Breitenstein Jr. | Chiropractor | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2006-08-14 |
1841724481 | Cherry Dental of Beaverton | Clinic/Center | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2017-04-19 |
1962748731 | Masa Safic Youngblood | Dental Hygienist | 8070 Sw Hall Blvd, Beaverton, OR 97008-6419 | 2012-12-22 |
1730442930 | Greenway Chiropractic Clinic | Chiropractor | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2012-06-21 |
1154557304 | Rachel Mehana Cordery | Massage Therapist | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2009-06-02 |
1386870756 | Katherine Elizabeth Fobert | Massage Therapist | 8070 Sw Hall Blvd, Ste 100, Beaverton, OR 97008 | 2009-05-29 |
1164519708 | Hadi Nouredine Dmd | Dentist | 8070 Sw Hall Blvd, Suite 200, Beaverton, OR 97008-6419 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
Find all providers in zip 97008 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376944314 | Mikhail Garibov | Dentist | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2014-09-09 |
1750300687 | Samuel Gottlieb | Dentist | 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006-4443 | 2006-07-19 |
1336419787 | Beaverton Periodontics | Dentist | 14500 Sw Murray Scholls Dr, Suite #101, Beaverton, OR 97007-9277 | 2012-01-03 |
1174646129 | Perio Aesthetics & Implantology | Dentist | 15455 Nw Greenbrier Pkwy, Suite 235, Beaverton, OR 97006-7374 | 2007-04-06 |
1700846896 | Duy Anh Tran | Dentist | 14780 Sw Osprey Dr, Suite 240 A, Beaverton, OR 97007-8028 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1427504828 | Shashank Joshi | Dentist | 1739 W Harvard Ave, Roseburg, OR 97471-2716 | 2016-08-26 |
1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
1548671340 | Polaris Dental Specialists | Dentist | 620 12th Street Se, Salem, OR 97301 | 2014-05-14 |
1295159986 | Andrew N Dow Dmd PC | Dentist | 4750 Village Plaza Loop Ste 102, Eugene, OR 97401-6601 | 2014-02-14 |
1043581465 | Riverplace Periodontics PC | Dentist | 2636 Se Harrison Street, Suite A, Milwaukie, OR 97222 | 2012-01-17 |
1730472986 | Wilson D Lee | Dentist | 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 | 2011-05-20 |
1184954422 | Kamran Haghighat Bds Ms PC | Dentist | 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 | 2010-01-08 |
1467683276 | Sunny L Drake | Dentist | 2235 Mission St Se Ste 250, Salem, OR 97302-1294 | 2009-07-29 |
1255574778 | Steven David Apfelbaum | Dentist | 1201 Nw Wall St., Suite 102, Bend, OR 97701 | 2009-04-14 |
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.