HAZELNUT DENTAL LLC (NPI# 1285193003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285193003 |
| Entity Type | Organization |
| Organization Name | HAZELNUT DENTAL LLC |
| Practice Address |
10773 Sw Beaverton-hillsdale Hwy Ste B Beaverton OR 97005 |
| Practice Telephone | 5038280928 |
| Mailing Telephone | 5038280928 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | DR. JOSHUA KIM (OWNER) |
| Authorized Official Telephone | 5038280928 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hazelnut Dental | Doing Business As Name - Organization |
| Street Address |
10773 SW BEAVERTON-HILLSDALE HWY STE B |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| 1497104004 | Solutions Group Nw LLC | Counselor | 3800 Sw Cedar Hills Blvd Ste 170, Beaverton, OR 97005 | 2016-06-06 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457851495 | Cloud Nine Dental Care LLC | Clinic/Center | 8285 Sw Nimbus Ave Ste 185, Beaverton, OR 97008-6465 | 2018-02-16 |
| 1205447786 | Sleep Health Partners LLC | Clinic/Center | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2020-08-10 |
| 1689292781 | Pacific Northwest Dental, LLC | Clinic/Center | 12725 Sw 2nd St, Beaverton, OR 97005-2708 | 2020-07-06 |
| 1003467358 | Jade Dental LLC | Clinic/Center | 12450 Sw Pioneer Ln, Beaverton, OR 97008-8377 | 2019-09-26 |
| 1326518119 | Magnolia Family Dentistry, LLC | Clinic/Center | 1791 Nw 173rd Ave Ste 110, Beaverton, OR 97006-5630 | 2018-12-05 |
| 1841724481 | Cherry Dental of Beaverton | Clinic/Center | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2017-04-19 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1720322431 | Americaredental | Clinic/Center | 4350 Sw Cedar Hills Blvd Ste B, Beaverton, OR 97005-2013 | 2012-11-19 |
| 1619235983 | S. Alexander Marrero Dds, PC | Clinic/Center | 16400 Sw Hart Rd, Suite A, Beaverton, OR 97007-3457 | 2012-04-24 |
| 1750656377 | Irina Moga Dds | Clinic/Center | 4970 Sw Main Ave, Suite 200, Beaverton, OR 97005-2740 | 2012-03-14 |
| Find all providers in BEAVERTON | ||||
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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.