DR. KEVIN JAMES FORD (NPI# 1467704858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467704858 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JAMES FORD |
| Credential | DMD |
| Practice Address |
10535 Ne Glisan St Suite 301 Portland OR 97220-4077 |
| Mailing Address |
14201 Ne 20th Ave Ste 2204 Vancouver WA 98686-6413 |
| Practice Telephone | 5034442824 |
| Mailing Telephone | 3609757641 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9791 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629579743 | Kevin Ford | Specialist/Technologist, Other | 220 Bosley Ave, Towson, MD 21204-4311 | 2018-02-23 |
| 1912451147 | Kevin Ford | Social Worker | 1776 Tremainsville Rd, Toledo, OH 43613-4039 | 2016-08-04 |
| 1780073247 | Kevin Ford | Counselor | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2015-01-21 |
| 1790180438 | Kevin Ford | Counselor | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 | 2014-10-23 |
| 1063697522 | Kevin Bruce Ford | Physical Therapist | 5001 W Village Green Dr, Suite 203, Midlothian, VA 23112-4801 | 2008-01-03 |
| 1952594244 | Kevin Michael Ford | Physical Therapist | 101 Cherokee Pl, Loudon, TN 37774-4162 | 2007-08-21 |
| 1851435176 | Kevin P. Ford | Social Worker | 5855 E Naples Plz, Suite 308, Long Beach, CA 90803-5060 | 2007-02-19 |
| 1275608184 | Kevin M Ford | Internal Medicine | 7404 Executive Pl, #501, Lanham, MD 20706-2268 | 2006-11-24 |
| Street Address |
10535 NE GLISAN ST SUITE 301 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080112 | Catherine Chiu | Pediatrics | 10535 Ne Glisan St, Ste 300, Portland, OR 97220-4077 | 2005-08-15 |
| 1669014700 | Terry Tam | Dental Hygienist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2019-10-10 |
| 1104311414 | Lyubov Bazyuk | Dental Hygienist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2018-06-28 |
| 1740731991 | Sheneice L. Francis | Dental Hygienist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2016-10-21 |
| 1790151017 | Hailey Q Nguyen | Dentist | 10535 Ne Glisan St, Suite 301, Portland, OR 97220-4077 | 2015-08-20 |
| 1124400767 | Rachel Schulz | Dental Hygienist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2015-06-19 |
| 1851771588 | Hasanain Al-humairi | Dental Hygienist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2015-06-08 |
| 1922417989 | Melissa Kay Colasurdo | Dentist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2014-08-04 |
| 1700296290 | Katheryn T. Nguyen | Dental Hygienist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2014-05-06 |
| 1104149079 | Taralea Jean Seibel | Massage Therapist | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2010-03-08 |
| 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.