FAROOQ NASSERZIAYEE (NPI# 1366451676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366451676 |
| Entity Type | Individual |
| Full Name | FAROOQ NASSERZIAYEE |
| Credential | D.M.D. |
| Practice Address |
10102 Ne Glisan St Portland OR 97220-4456 |
| Mailing Address |
1726 Ne 55th Ave Portland OR 97213-3503 |
| Practice Telephone | 5032575959 |
| Practice Fax Number | 5034081472 |
| Mailing Telephone | 5034600207 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7898 | OR | Dental Providers |
| Street Address |
10102 NE GLISAN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134177934 | David M. Teeter | Dentist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2006-05-04 |
| 1093328726 | Leah Dixon | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2020-08-24 |
| 1871155358 | Sarah Nicole Bulkley | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2019-07-03 |
| 1477026466 | Bethany Kay Wynn | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2019-01-02 |
| 1255821575 | Yian Jan Huddleston | Dental Hygienist | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-05-11 |
| 1144718040 | Diana Ngoc Dang | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-04-25 |
| 1689176026 | Marina N Globak | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-03-01 |
| 1629577580 | Denyl Elizabeth Decker | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2018-02-06 |
| 1356879183 | Anneda May Ormae | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2017-05-24 |
| 1194253971 | Alexis Nichole Kikes | Dental Assistant | 10102 Ne Glisan St, Portland, OR 97220-4456 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| 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.