DR. RICHARD WOLFGANG DAVENPORT (NPI# 1477624732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477624732 |
| Entity Type | Individual |
| Full Name | DR. RICHARD WOLFGANG DAVENPORT |
| Credential | DMD |
| Practice Address |
521 N 1st Ave Stayton OR 97383-1703 |
| Mailing Address |
442 Sw Umatilla Ave Suite 200 Redmond OR 97756-7039 |
| Practice Telephone | 8884680022 |
| Practice Fax Number | 5415043907 |
| Mailing Telephone | 8884804478 |
| Mailing Fax Number | 5415043907 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D6387 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375076 | Richard K Davenport | Counselor | 8609 2nd Ave, Suite 201b, Silver Spring, MD 20910-3360 | 2006-11-22 |
| 1144334236 | Richard Alan Davenport Sr. | Registered Nurse | 102 Hartmann Drive, Suite G, #325, Lebanon, TN 37087-2516 | 2006-08-18 |
| 1811999063 | Richard D Davenport | Ophthalmology | 2424 S 90th St, Ste 506, West Allis, WI 53227-2455 | 2005-06-01 |
| 1205276821 | Richard Davenport II | Counselor | 201 S Market St, Ottumwa, IA 52501-2924 | 2013-06-27 |
| 1760612469 | Richard Austin Davenport | Massage Therapist | 285 Spring St, Tacoma, WA 98250 | 2009-07-16 |
| Street Address |
521 N 1ST AVE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467463141 | Thomas Melvin Bell | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-08-10 |
| 1194335307 | Dar Yoon | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2020-08-03 |
| 1831752823 | Craig S Ward | Denturist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2019-04-16 |
| 1225445596 | Aaron Baird | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2014-07-17 |
| 1497823546 | Mill Creek Dental, Inc. | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1215099627 | Ritchie B Gooch | Family Medicine | 1377 N 10th Avenue, Stayton, OR 97383 | 2006-12-14 |
| 1710932710 | Promotion Advanced Functional Rehab LLC | Physical Therapy Assistant | 601 N 1st Ave, Stayton, OR 97383 | 2006-05-24 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| Find all providers in zip 97383 | ||||
| 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 |
|---|---|---|---|---|
| 1821386467 | Fred Frank Girod | Dentist | 101 Fern Ridge Rd Se, Stayton, OR 97383-1270 | 2011-07-18 |
| 1487722195 | Roger Vansanten | Dentist | 450 E Washington St, Stayton, OR 97383-0455 | 2006-12-01 |
| 1225445596 | Aaron Baird | Dentist | 521 N 1st Ave, Stayton, OR 97383-1703 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1790390060 | Tyler Joseph Craven | Dentist | 4515 Se Harrison St, Milwaukie, OR 97222-5221 | 2020-09-13 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1801400684 | Michael Carreon | Dentist | 1332 Sw Highland Ave, Redmond, OR 97756-2640 | 2020-08-31 |
| 1679196190 | Members Plus Dental | Dentist | 156 Catron St N, Monmouth, OR 97361-2303 | 2020-05-19 |
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1619504164 | Anna Nicole Gerlach | Dentist | 1915 Ne Baker St, Mcminnville, OR 97128-2601 | 2020-03-25 |
| 1598391054 | Slater Family Dental, PC | Dentist | 18540 Sw Vincent, Aloha, OR 97078 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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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.