DR. PERRY A. STEVENSON (NPI# 1740384460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740384460 |
| Entity Type | Individual |
| Full Name | DR. PERRY A. STEVENSON |
| Credential | DDS, MS, PC |
| Practice Address |
1201 Se 223rd Ave Suite 220 Gresham OR 97030-2574 |
| Practice Telephone | 5036618719 |
| Practice Fax Number | 5036667068 |
| Mailing Telephone | 5036618719 |
| Mailing Fax Number | 5036667068 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D6379 | OR | Dental Providers |
| Street Address |
1201 SE 223RD AVE SUITE 220 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518302918 | Cascade Vision Center Inc. | Optometrist | 1201 Se 223rd Ave, Suite 160, Gresham, OR 97030-2574 | 2013-04-30 |
| 1851666903 | Kwon Dentistry, LLC | Dentist | 1201 Se 223rd Ave, Suite 120, Gresham, OR 97030-2574 | 2012-03-21 |
| 1902100316 | Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC | Dentist | 1201 Se 223rd Ave, Suite 180, Gresham, OR 97030-2574 | 2010-12-28 |
| 1871768853 | Daniel J Ries, Dmd, PC | Clinic/Center | 1201 Se 223rd Ave, Suite 140, Gresham, OR 97030-2574 | 2008-04-29 |
| 1386784437 | Kevin K Shim | Dentist | 1201 Se 223rd Ave, Suite 260, Gresham, OR 97030-2574 | 2007-02-07 |
| 1386715910 | Daniel J Ries | Dentist | 1201 Se 223rd Ave, Suite 140, Gresham, OR 97030-2574 | 2006-11-13 |
| 1366521122 | Douglas Lee Park | Dentist | 1201 Se 223rd Ave, Suite 240, Gresham, OR 97030 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205233 | J.r. Gregg LLC | Dentist | 1201 Se 223rd Ave Ste 220, Gresham, OR 97030-2578 | 2019-09-24 |
| 1437209962 | Chau Ngo | Dentist | 443 Nw Burnside Rd, Gresham, OR 97030-3714 | 2007-01-10 |
| 1215275730 | Hardin Orthodontics | Dentist | 501 Ne Hood Ave, Suite 305, Gresham, OR 97030-7303 | 2013-01-17 |
| 1285887786 | Gabriela Aranda | Dentist | 2150 Ne Division St, Suite 203, Gresham, OR 97030-5813 | 2008-10-28 |
| 1538349774 | Austin Phoenix | Dentist | 443 Nw Burnside Rd, Gresham, OR 97030-3714 | 2007-11-05 |
| 1053375089 | Tod M Hardin | Dentist | 501 Ne Hood Ave, Suite 305, Gresham, OR 97030-7303 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636329 | Daniel Hoopes | Dentist | 979 Young St Ste C, Woodburn, OR 97071-4954 | 2020-07-14 |
| 1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
| 1003381914 | Keyan Botsford | Dentist | 1625 E Mcandrews Rd Ste B, Medford, OR 97504-5334 | 2018-10-06 |
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1992181838 | Shannon Woods | Dentist | 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 | 2015-08-03 |
| 1790169217 | Ortho Country Orthodontics LLC | Dentist | 1300 Ne Alpha Dr, Mcminnville, OR 97128-9711 | 2015-07-14 |
| 1033516232 | Dennis Wade Trammell | Dentist | 2215 Willamette St. Suite B, Eugene, OR 97405-2847 | 2014-12-03 |
| 1437581881 | Tamara Justus | Dentist | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225-5935 | 2013-08-07 |
| 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.