DR. JACOB ATKINSON DMD PC (NPI# 1700039518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700039518 |
| Entity Type | Organization |
| Organization Name | DR. JACOB ATKINSON DMD PC |
| Practice Address |
130 Court St S Vale OR 97918-1326 |
| Practice Telephone | 5414739166 |
| Mailing Telephone | 5414739166 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | DR. JACOB ATKINSON (PRESIDENT) |
| Authorized Official Telephone | 5414739166 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D9126 | OR | Ambulatory Health Care Facilities |
| Street Address |
130 COURT ST S |
| City | VALE |
| State | OR |
| Zip Code | 97918-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620672 | Thomas R Hamilton | Dentist | 130 Court St S, Vale, OR 97918-1326 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346584786 | Heather Hofmann | Occupational Therapy Assistant | 1060 D Street, Pioneer Place, Vale, OR 97918 | 2012-11-26 |
| 1457352486 | Robert Davis | Physician Assistant | 789 Washington West, Vale, OR 97918 | 2005-08-01 |
| 1518352491 | Angela Carlson | Physical Therapist | 1060 D St W, Vale, OR 97918-1107 | 2015-03-30 |
| 1366532376 | Pioneer Nursing Home Health District | Nursing Facility/Intermediate Care Facility | 1060 D Street West, Vale, OR 97918-1107 | 2006-10-13 |
| 1982156931 | Julie Keeney | Speech-Language Pathologist | 1060 D St W, Vale, OR 97918-1107 | 2016-10-25 |
| 1235166562 | Valley Family Health Care, Inc | Family Medicine | 789 Washington St W, Vale, OR 97918-1147 | 2006-06-26 |
| 1912550138 | Edwin Huhtala | Nurse Practitioner | 789 Washington St W, Vale, OR 97918-1147 | 2019-07-17 |
| 1598166027 | Amber L Pierce | Nurse Practitioner | 789 Washington St W, Vale, OR 97918-1147 | 2014-09-16 |
| 1326158585 | Malheur Drug, Inc | Pharmacy | 198 A St W, Vale, OR 97918-1302 | 2006-08-30 |
| 1851540629 | Jennifer Louise Tolman | Pharmacist | 198 A St W, Vale, OR 97918-1302 | 2008-09-16 |
| Find all providers in zip 97918 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 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 |
| 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.