JAMES ALDER & JEREM MITCHELL FAMILY DENTISTRY, LLC (NPI# 1578727350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578727350 |
| Entity Type | Organization |
| Organization Name | JAMES ALDER & JEREM MITCHELL FAMILY DENTISTRY, LLC |
| Practice Address |
1600 Sw Cedar Hills Blvd Suite 110 Portland OR 97225-5495 |
| Practice Telephone | 5036415667 |
| Mailing Telephone | 5036415667 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | JAMES ALDER (DENTIST) |
| Authorized Official Telephone | 5036415667 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
OR5933 | OR | Ambulatory Health Care Facilities |
| Street Address |
1600 SW CEDAR HILLS BLVD SUITE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225019268 | Jerem J Mitchell | Dentist | 1600 Sw Cedar Hills Blvd, Suite 100, Portland, OR 97225-5439 | 2005-11-08 |
| 1295143212 | Dallas Michael Gerritz | Dentist | 1600 Sw Cedar Hills Blvd, Suite 107, Portland, OR 97225-5439 | 2014-07-23 |
| 1831529155 | Dr Zavari Dental PC | Clinic/Center | 1600 Sw Cedar Hills Blvd, Suite 110, Portland, OR 97229 | 2013-11-22 |
| 1437417235 | Cedar Hills Dentistry for Kids LLC | Dentist | 1600 Sw Cedar Hills Blvd, 109, Portland, OR 97225-5439 | 2012-04-30 |
| 1821156704 | Dhai Barr | Naturopath | 1600 Sw Cedar Hills Blvd, Suite 102, Portland, OR 97225-5439 | 2006-12-04 |
| 1255403143 | Marshall S Ruby | Dentist | 1600 Sw Cedar Hills Blvd, Portland, OR 97225-5439 | 2006-11-15 |
| 1568478576 | James C Alder | Dentist | 1600 Sw Cedar Hills Blvd, #110, Portland, OR 97225-5439 | 2006-07-31 |
| 1699728592 | Christine Marie Chin | Dentist | 1600 Sw Cedar Hills Blvd, St. 107, Portland, OR 97225-5439 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| 1124511191 | Enk Dental PC | Clinic/Center | 6516 Ne Siskiyou St, Portland, OR 97213-4572 | 2018-06-13 |
| 1760997654 | Gary S Hongo Dmd, LLC | Clinic/Center | 9732 Se Washington St Ste H, Portland, OR 97216-8405 | 2017-12-13 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1962930362 | Alaniz Family & Cosmetic Dentistry, PC | Clinic/Center | 11701 Se Stark St, Portland, OR 97216-3759 | 2017-05-30 |
| 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.