TERESA J WAITE (NPI# 1194018564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194018564 |
| Entity Type | Individual |
| Full Name | TERESA J WAITE |
| Credential | LD |
| Practice Address |
2381 Ne Conners Ave Bend OR 97701-6068 |
| Mailing Address |
Po Box 11470 Eugene OR 97440-3670 |
| Practice Telephone | 5416786262 |
| Practice Fax Number | 5415164039 |
| Mailing Telephone | 8884680022 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DT-DO-10137920 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21505 Main Ave N, Suite B, Tillamook, OR 97141 | 5033542159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467416917 | Teresa Rose Waite | Nurse Practitioner | 909 E Wayne St Ste 124, Celina, OH 45822-3304 | 2006-04-13 |
| Street Address |
2381 NE CONNERS AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659417327 | Robert Anthony Bass | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2007-01-30 |
| 1700251865 | Alisa Stephenson | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-12-01 |
| 1245603695 | Brynna Rust | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-06 |
| 1053784538 | Kimberly Holliday | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-05 |
| 1285007807 | Advantage Dental | Preferred Provider Organization | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2015-11-04 |
| 1295162329 | Tiffany Meilani Foy | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2013-10-03 |
| 1790079531 | Travis Robert Schuller | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-06-08 |
| 1659660108 | Mary Ann Wren | Dental Hygienist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2011-04-05 |
| 1174837983 | Evan G Olson | Dentist | 2381 Ne Conners Ave, Bend, OR 97701-6068 | 2010-08-04 |
| 1306098934 | Taylor Bybee | Dentist | 2381 Ne Conners Ave, Bend, OR 97701 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1083825962 | Tad Wylie Burzynski | Denturist | 853 Ne 4th St, Bend, OR 97701-4709 | 2007-05-24 |
| 1821419243 | Stefan Lindenau | Denturist | 2041 Ne Williamson Ct, Suite C, Bend, OR 97701-3925 | 2014-01-03 |
| 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 |
| 1063074250 | Rajeev Rugi Siddappa | Denturist | 740 Avenue H, Seaside, OR 97138-6619 | 2019-07-08 |
| 1548760630 | Stephen Depirro II | Denturist | 740 Avenue H Ste 2, Seaside, OR 97138-6603 | 2018-02-15 |
| 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 |
| 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.