OCONNOR FAMILY DENTISTRY (NPI# 1295926954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295926954 |
| Entity Type | Organization |
| Organization Name | OCONNOR FAMILY DENTISTRY |
| Practice Address |
1015 So 40th Ave #15 Yakima WA 98908 |
| Practice Telephone | 5099660660 |
| Mailing Telephone | 5099660660 |
| Mailing Fax Number | 5099650417 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | NATHAN ANDREW OCONNOR (PARTNER) |
| Authorized Official Telephone | 5099660660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
10492 | WA | Dental Providers |
| Y | 122300000X | Dentist | 4241 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5051040 | 05 |
| Street Address |
1015 SO 40TH AVE #15 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326180829 | Tim Lawrence Oconnor | Dentist | 1015 So 40th Ave, Suite 15, Yakima, WA 98908-3867 | 2007-02-12 |
| 1760524276 | Nathan Andrew Oconnor | Dentist | 1015 So 40th Ave, Suite 15, Yakima, WA 98908-3867 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508348657 | Tina Amir | Dentist | 2906 W Nob Hill Blvd, Yakima, WA 98902-4953 | 2018-09-05 |
| 1700363470 | Tarnjit Sangha | Dentist | 1020 S 40th Ave Ste G, Yakima, WA 98908-3800 | 2018-07-25 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1114370574 | Doran J. Riehl, D.d.s., P.s. | Dentist | 1016 S 40th Ave, Yakima, WA 98908-3804 | 2016-07-20 |
| 1588017545 | Jeffrey D Pruiett Dmd | Dentist | 719 N 39th Ave Ste 102, Yakima, WA 98902-6302 | 2016-07-14 |
| 1528485323 | Riverbend Family Dental | Dentist | 3700 Fairbanks Ave Ste 200, Yakima, WA 98902-6325 | 2014-03-19 |
| 1679915060 | David E Moore | Dentist | 11 N 11th Ave Ste 107, Yakima, WA 98902-3085 | 2013-07-25 |
| 1316209216 | Adam D Thompson | Dentist | 1120 S 18th St, Yv Tech, Yakima, WA 98948-0190 | 2012-06-15 |
| 1780978965 | Elperin,ghorbanian Pllc | Dentist | 3408 W Nob Hill Blvd, Yakima, WA 98902-4731 | 2011-06-05 |
| 1003115841 | Tyler Alan Fordham | Dentist | 407 N 63rd Ave, Yakima, WA 98908-2707 | 2011-03-18 |
| Find all providers in YAKIMA | ||||
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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.