TODD A SCHOCK PC DMD MD (NPI# 1285744573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285744573 |
| Entity Type | Organization |
| Organization Name | TODD A SCHOCK PC DMD MD |
| Other Organization Name | FACIAL AND ORAL SURGICAL CENTER |
| Practice Address |
1893 Ne Neff Rd Bend OR 97701-6112 |
| Practice Telephone | 5413821791 |
| Practice Fax Number | 5413896953 |
| Mailing Telephone | 5413821791 |
| Mailing Fax Number | 5413896953 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | MRS. ELIZABETH ANN SKAUG (OFFICE MANAGER) |
| Authorized Official Telephone | 5413827981 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
288477 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| facial and oral surgical center | Other Name - Individual/Organization |
| Street Address |
1893 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598021578 | Amir Azarisamani | Dentist | 1893 Ne Neff Rd, Bend, OR 97701-6112 | 2012-04-04 |
| 1588799233 | Todd Andrew Schock | Dentist | 1893 Ne Neff Rd, Bend, OR 97701-6112 | 2007-02-22 |
| 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 | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275040404 | Oral and Facial Surgery | Clinic/Center | 6125 Ne Cornell Rd Ste 320, Hillsboro, OR 97124-5417 | 2018-01-09 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1811149297 | Dennis D. Johnson Dmd PC | Clinic/Center | 410 Lancaster Dr Ne Ste A, Salem, OR 97301-4794 | 2008-10-16 |
| 1386901734 | Mid-valley Oral, Maxillofacial & Implant Surgery | Clinic/Center | 1565 Liberty St Se, Salem, OR 97302-4345 | 2012-04-23 |
| 1316243660 | Gerald Alan Harper, Dds, PC | Clinic/Center | 2650 Suzanne Way, Suite 110, Eugene, OR 97408-7319 | 2011-02-03 |
| 1699908475 | Rogue Valley Oral & Maxillofacial Surgery, PC | Clinic/Center | 460 Murphy Road, Medford, OR 97504 | 2009-08-27 |
| 1811121932 | Beaverton Oral Surgeons | Clinic/Center | 3925 Sw 153rd Dr, Suite 100, Beaverton, OR 97006-4166 | 2009-05-04 |
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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.