JOHN CRAIG BAUMGARTNER (NPI# 1497830053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497830053 |
| Entity Type | Individual |
| Full Name | JOHN CRAIG BAUMGARTNER |
| Credential | DDS |
| Practice Address |
611 Sw Campus Dr Room 19 Portland OR 97239-3001 |
| Mailing Address |
5900 Suncreek Dr Lake Oswego OR 97035-8779 |
| Practice Telephone | 5034944316 |
| Practice Fax Number | 5034948384 |
| Mailing Telephone | 5036396264 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D6760 | OR | Dental Providers |
| Street Address |
611 SW CAMPUS DR ROOM 19 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508827478 | Wei-yuhg Yih | Dentist | 611 Sw Campus Dr, Sd-515, Portland, OR 97239-3001 | 2006-03-30 |
| 1700227345 | Patra Vasiliki Alatsis | Student in an Organized Health Care Education/Training Program | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2013-07-11 |
| 1740621796 | Brandon Knapp | Student in an Organized Health Care Education/Training Program | 611 Sw Campus Dr, Ohsu Department of Orthodontics, Portland, OR 97239-3001 | 2013-07-07 |
| 1669811352 | Grace E. Crary | Dentist | 611 Sw Campus Dr, Rm. 805, Portland, OR 97239-3001 | 2013-06-17 |
| 1760722219 | Jeremy M Miller | Dental Hygienist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2013-02-20 |
| 1588805311 | Eugene Owen Kelley | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2009-03-06 |
| 1730365479 | Juliana Branco Dacosta | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2008-01-11 |
| 1881894376 | Lisa S Yarborough | Dentist | 611 Sw Campus Dr, Portland, OR 97239-3001 | 2007-07-23 |
| 1659436160 | Barry Joseph Taylor | Dentist | 611 Sw Campus Dr, Faculty Dental Practice, Room 19, Portland, OR 97239-3001 | 2006-12-26 |
| 1346327905 | Theresa E Madden | Dentist | 611 Sw Campus Dr, Room 19, Portland, OR 97239-3001 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1386084564 | Sonja R Evans | Dentist | 82 Coyle St, Portland, ME 04101-1628 | 2013-07-02 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1780868687 | Dental Specialists of Portland | Dentist | 1355 Congress St, Suite A, Portland, ME 04102-2160 | 2007-12-27 |
| 1811197601 | Dental Specialists of Maine, LLC | Dentist | 1355 Congress St Ste A, Portland, ME 04102-2137 | 2007-07-20 |
| 1437365889 | Jason A Garlock | Dentist | 276 Canco Road, Granite Heights, Portland, ME 04103 | 2007-05-15 |
| 1346467404 | Tony Bassili | Dentist | 11982 Ne Glisan St, Portland, OR 97220-2143 | 2007-04-19 |
| 1427029503 | Brooks Bradley Horan | Dentist | 405 Se 133rd Ave, Portland, OR 97233-1809 | 2006-01-27 |
| 1497749881 | Scott W Edgar | Dentist | 1020 Ne 2nd Ave, #320, Portland, OR 97232-2064 | 2005-08-31 |
| 1053312595 | Danielle Paige Wingrove | Dentist | 2730 Sw Moody Ave # 5n032, Portland, OR 97201 | 2005-08-09 |
| 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.