DR. BENJAMIN ZIKE (NPI# 1679097448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679097448 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ZIKE |
| Credential | DDS |
| Practice Address |
1103 3rd St Tillamook OR 97141 |
| Mailing Address |
1103 3rd St Tillamook OR 97141-3402 |
| Practice Telephone | 5038426666 |
| Practice Fax Number | 5038421366 |
| Mailing Telephone | 5038426666 |
| Mailing Fax Number | 5038421366 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10770 | OR | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
6965 | NV | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5642 S Eastern Ave Ste B, Las Vegas, NV 891192310 | (702) 456-0005 |
| Street Address |
1103 3RD ST |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831179746 | Brian Gregory Seaholm | Dentist | 1103 3rd St, Tillamook, OR 97141-3402 | 2006-01-18 |
| 1851938989 | Kaylynn Walls | Dental Hygienist | 1103 3rd St, Tillamook, OR 97141-3402 | 2019-12-09 |
| 1902363393 | Benjamin Zike Dds | Clinic/Center | 1103 3rd St, Tillamook, OR 97141-3402 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| 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 |
|---|---|---|---|---|
| 1073723953 | Lee C Long | Dentist | 1503 3rd St, Tillamook, OR 97141-3409 | 2007-05-22 |
| 1437375789 | Julia Anne Robirds | Dentist | 805 Ivy Ave, Tillamook, OR 97141-3758 | 2007-04-17 |
| 1275676785 | Jin Mo Ahn | Dentist | 2503 Main Ave N, Tillamook, OR 97141-9208 | 2007-02-14 |
| 1700978301 | Edgar Kam Shiroma | Dentist | 2110 9th St Ste B, Tillamook, OR 97141-3950 | 2006-09-29 |
| 1972600955 | Samuel Gregory Benanti | Dentist | 805 Ivy Ave Ste B, Tillamook, OR 97141-3758 | 2006-09-20 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1881693851 | Brett Jess Hestmark | Dentist | 1115 Main Ave, Tillamook, OR 97141-3819 | 2005-07-20 |
| 1326697822 | Tysa Judd | Dentist | 1010 Main Ave, Tillamook, OR 97141-3818 | 2019-09-06 |
| 1992284012 | Tyrel James Finmor | Dentist | 1115 Main Ave, Tillamook, OR 97141-3819 | 2018-08-09 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| Find all providers in TILLAMOOK | ||||
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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.