ERIC J DIERKS


Address: 1849 Nw Kearney St, Portland, OR 97209
Phone: 5032241371

ERIC J DIERKS (NPI# 1265432025) 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) 1265432025
Entity Type Individual
Full Name ERIC J DIERKS
Credential MD, DMD
Practice Address 1849 Nw Kearney St
Portland
OR 97209
Mailing Address 1849 Nw Kearney St
Ste 300
Portland
OR 97209-1453
Practice Telephone 5032241371
Practice Fax Number 5032240722
Mailing Telephone 5032241371
Mailing Fax Number 5032240722
Enumeration Date 2005-07-22
Last Update Date 2018-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204E00000X Oral & Maxillofacial Surgery D6708 OR Allopathic & Osteopathic Physicians
Y 204E00000X Oral & Maxillofacial Surgery MD16391 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 008560 05

Office Location

Street Address 1849 NW KEARNEY ST
City PORTLAND
State OR
Zip Code 97209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346249281 Bryce Earl Potter Oral & Maxillofacial Surgery 1849 Nw Kearney St, Ste 300, Portland, OR 97209-1453 2005-07-20
1114372653 Oregon Interventional Pain Consultants, LLC Clinic/Center 1849 Nw Kearney St, Suite 201, Portland, OR 97209-1453 2016-05-03
1982940169 Bret Anthony Wonderlick Audiologist 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 2012-12-17
1043537707 Allen C Cheng Oral & Maxillofacial Surgery 1849 Nw Kearney St, Suite 300, Portland, OR 97209 2010-04-21
1023331469 Trauma Specialists, LLP Specialist 1849 Nw Kearney St, Suite 100, Portland, OR 97209-1453 2010-03-11
1053643023 Karen Susan Hoyt Registered Nurse 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 2010-02-02
1730332198 John David Miller Dentist 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 2008-10-29
1396918611 James P Cuyler, M.d., P.C. Otolaryngology 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 2008-04-08
1528257961 R Sterling Hodgson Md LLC Otolaryngology 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 2007-10-22
1043415870 Ashish A Patel Oral & Maxillofacial Surgery 1849 Nw Kearney St, Suite 300, Portland, OR 97209 2007-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346249281 Bryce Earl Potter Oral & Maxillofacial Surgery 1849 Nw Kearney St, Ste 300, Portland, OR 97209-1453 2005-07-20
1053864561 Karl Cuddy Oral & Maxillofacial Surgery 2801 N Gantenbein Ave, Portland, OR 97227-1623 2016-08-01
1104209386 Felix Wiyanto Sim Oral & Maxillofacial Surgery 1015 Nw 22nd Ave, Portland, OR 97210-3025 2015-07-07
1407109937 Providence Health & Services - Oregon Oral & Maxillofacial Surgery 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 2012-10-22
1447525852 Brett A. Ueeck Dmd, Md, PC Oral & Maxillofacial Surgery 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 2012-03-19
1588939961 Marcus Aaron Couey Oral & Maxillofacial Surgery 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 2012-03-18
1043537707 Allen C Cheng Oral & Maxillofacial Surgery 1849 Nw Kearney St, Suite 300, Portland, OR 97209 2010-04-21
1043415870 Ashish A Patel Oral & Maxillofacial Surgery 1849 Nw Kearney St, Suite 300, Portland, OR 97209 2007-06-20
1235332834 Daniel Petrisor Oral & Maxillofacial Surgery 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2007-06-09
1790889376 Maine Medical Partners Oral & Maxillofacial Surgery 22 Bramhall St, Dept of Surgery, Portland, ME 04102-3134 2006-09-12
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Competitor

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City PORTLAND
Zip Code 97209

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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