DR. DALLAS MICHAEL GERRITZ (NPI# 1295143212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295143212 |
Entity Type | Individual |
Full Name | DR. DALLAS MICHAEL GERRITZ |
Credential | D.M.D. |
Practice Address |
1600 Sw Cedar Hills Blvd Suite 107 Portland OR 97225-5439 |
Practice Telephone | 5036437502 |
Mailing Telephone | 5036437502 |
Enumeration Date | 2014-07-23 |
Last Update Date | 2016-12-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D10088 | OR | Dental Providers |
Street Address |
1600 SW CEDAR HILLS BLVD SUITE 107 |
City | PORTLAND |
State | OR |
Zip Code | 97225-5439 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225019268 | Jerem J Mitchell | Dentist | 1600 Sw Cedar Hills Blvd, Suite 100, Portland, OR 97225-5439 | 2005-11-08 |
1831529155 | Dr Zavari Dental PC | Clinic/Center | 1600 Sw Cedar Hills Blvd, Suite 110, Portland, OR 97229 | 2013-11-22 |
1437417235 | Cedar Hills Dentistry for Kids LLC | Dentist | 1600 Sw Cedar Hills Blvd, 109, Portland, OR 97225-5439 | 2012-04-30 |
1578727350 | James Alder & Jerem Mitchell Family Dentistry, LLC | Clinic/Center | 1600 Sw Cedar Hills Blvd, Suite 110, Portland, OR 97225-5495 | 2008-07-11 |
1821156704 | Dhai Barr | Naturopath | 1600 Sw Cedar Hills Blvd, Suite 102, Portland, OR 97225-5439 | 2006-12-04 |
1255403143 | Marshall S Ruby | Dentist | 1600 Sw Cedar Hills Blvd, Portland, OR 97225-5439 | 2006-11-15 |
1568478576 | James C Alder | Dentist | 1600 Sw Cedar Hills Blvd, #110, Portland, OR 97225-5439 | 2006-07-31 |
1699728592 | Christine Marie Chin | Dentist | 1600 Sw Cedar Hills Blvd, St. 107, Portland, OR 97225-5439 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
Find all providers in zip 97225 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
Find all providers in PORTLAND |
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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.