DR. JOHN TRAVIS DUFFY (NPI# 1821420324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821420324 |
| Entity Type | Individual |
| Full Name | DR. JOHN TRAVIS DUFFY |
| Other Name | DR. J. TRAVIS DUFFY |
| Credential | DMD |
| Practice Address |
640 12th St Se Salem OR 97301-4001 |
| Practice Telephone | 5033647944 |
| Practice Fax Number | 5035858902 |
| Mailing Telephone | 5033647944 |
| Mailing Fax Number | 5035858902 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9931 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679696801 | John Joseph Duffy | Dentist | 17411 Horace Harding Expy, Fresh Meadows, NY 11365-1527 | 2007-04-10 |
| 1083732564 | John F Duffy | Psychologist | 615 Washington Rd Ste 507, Pittsburgh, PA 15228-1929 | 2007-03-26 |
| 1184769713 | John Lawrence Duffy | Optometrist | 1211 W. Lancaster Ave., Rosemont, PA 19010 | 2007-02-21 |
| 1255497251 | John Gregory Duffy | Psychiatry & Neurology | 17821 E. 17th St, Suite 165, Tustin, CA 92780 | 2006-12-28 |
| 1295710358 | John Sparrow Duffy | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2005-12-13 |
| 1679557235 | John M Duffy | Physical Therapist | 100 Siena Dr Ste 165, Pittsburgh, PA 15241-1361 | 2005-12-06 |
| 1457822389 | John Francis Duffy | Counselor | 76 Church St, Whitinsville, MA 01588-1464 | 2018-12-17 |
| 1588130918 | John L Duffy | Social Worker | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2018-10-24 |
| 1861997025 | John Alexander Duffy | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 913, Minneapolis, MN 55455-0341 | 2018-03-28 |
| 1750654844 | John P. Duffy | Pharmacist | 4 Emerson Plz W, Emerson, NJ 07630-1800 | 2012-02-20 |
| Street Address |
640 12TH ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721645 | Mark Alan Cruise | Dentist | 640 12th St Se, Salem, OR 97301-4001 | 2005-09-21 |
| 1033648886 | Pringle Creek Family Dental, LLC | Clinic/Center | 640 12th St Se, Salem, OR 97301-4001 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537665 | My Smile Experience P.C. | Dentist | 99 Rockingham Park Blvd # W111b, Salem, NH 03079-2900 | 2020-01-09 |
| 1861047532 | Kathy Trinh | Dentist | 1920 Turner Rd Se, Suite B, Salem, OR 97302-2003 | 2019-08-08 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1730684937 | Eva Chiu | Dentist | 142a Canal St, Salem, MA 01970-4650 | 2018-03-28 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1942652557 | Karin Arsenault | Dentist | 32 Stiles Rd Ste 208, Salem, NH 03079-2894 | 2016-07-07 |
| 1811391527 | Hala Mahmod | Dentist | 4 Lancelot Ct Apt 15, Salem, NH 03079-3529 | 2014-10-09 |
| 1871907139 | Pure Dental PC | Dentist | 3470 Pipebend Pl Ne Ste 110, Salem, OR 97301-1741 | 2014-06-16 |
| 1669811071 | Stephanie Nicole Vlahos | Dentist | 1930 Braeburn Dr Ste A, Salem, VA 24153-7391 | 2013-06-19 |
| 1568705168 | Alfred Joseph Sotera | Dentist | 12 Stiles Road, Suite 206, Salem, NH 03079-2881 | 2013-04-02 |
| Find all providers in SALEM | ||||
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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.