DR. FRANK A MENDOZA (NPI# 1891850749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891850749 |
Entity Type | Individual |
Full Name | DR. FRANK A MENDOZA |
Credential | D.D.S. |
Practice Address |
Warm Springs Indian Health Service Dental Clinic 1270 Kot-num Road Warm Springs OR 97761 |
Mailing Address |
2181 Ne Kim Ln Bend OR 97701-6054 |
Practice Telephone | 5415532462 |
Practice Fax Number | 5415532619 |
Mailing Telephone | 5413170863 |
Mailing Fax Number | 5413170863 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D7424 | OR | Dental Providers |
Street Address |
WARM SPRINGS INDIAN HEALTH SERVICE DENTAL CLINIC 1270 KOT-NUM ROAD |
City | WARM SPRINGS |
State | OR |
Zip Code | 97761 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568519627 | Benjamin Brown | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
Find all providers in zip 97761 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297279 | Dennis M Dunne Dds PC | Dentist | 1600 Executive Pkwy Ste 350, Eugene, OR 97401-7110 | 2020-02-20 |
1225678139 | Eric E Jacobsen Dds PC | Dentist | 19502 Molalla Ave Ste 109, Oregon City, OR 97045-4513 | 2020-01-08 |
1982168506 | Anthony Frank Vinciguerra | Dentist | 37315 Second St, Nehalem, OR 97131-9679 | 2019-01-28 |
1114493582 | Matt W Anderson Dds PC | Dentist | 2215 Willamette St Ste A, Eugene, OR 97405-3341 | 2018-10-23 |
1366923245 | Big Tooth Little Tooth Pediatric Dentistry PC | Dentist | 2020 8th Ave Ste 121, West Linn, OR 97068-4657 | 2018-08-28 |
1578057618 | Bittner & Flann LLC | Dentist | 17680 Sw Handley St Ste 201, Sherwood, OR 97140-9299 | 2018-06-21 |
1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
1053812081 | Armin Afshar | Dentist | 201 Se Washington St Ste A, Dallas, OR 97338-2860 | 2018-02-25 |
1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
1790225399 | Childrens Dentistry | Dentist | 515 W Idaho Ave, Ontario, OR 97914-2348 | 2017-03-01 |
Find all providers with the same taxonomy |
City | WARM SPRINGS |
Zip Code | 97761 |
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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.