KARL WAGENKNECHT (NPI# 1891851424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891851424 |
| Entity Type | Individual |
| Full Name | KARL WAGENKNECHT |
| Credential | D.M.D. |
| Practice Address |
1380 Villard St Eugene OR 97403-1955 |
| Practice Telephone | 5413425578 |
| Practice Fax Number | 5413026399 |
| Mailing Telephone | 5413425578 |
| Mailing Fax Number | 5413026399 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5229 | OR | Dental Providers |
| Street Address |
1380 VILLARD ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97403-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548319767 | Tian Xia | Dentist | 1380 Villard St, Eugene, OR 97403-1955 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| 1427200138 | Eugene Endodotics LLC | Dentist | 2233 Willamette St Ste E, Eugene, OR 97405-2890 | 2008-10-14 |
| 1679738850 | Jim Everett Ruckman | Dentist | 750 Goodpasture Island Rd, Eugene, OR 97401-1751 | 2008-07-27 |
| 1306973490 | Frederick Robert O'donnell | Dentist | 487 E 11th Ave, Eugene, OR 97401-3605 | 2007-02-27 |
| 1396283016 | Valley River Endodontics, LLC | Dentist | 750 Goodpasture Island Rd, Eugene, OR 97401 | 2017-02-01 |
| 1669857371 | Emily Case | Dentist | 1055 Valley River Way, Eugene, OR 97401-2159 | 2015-07-23 |
| 1548319767 | Tian Xia | Dentist | 1380 Villard St, Eugene, OR 97403-1955 | 2007-01-09 |
| 1891857462 | Daniel Poulson Bitner | Dentist | 911 Country Club Rd, Suite # 140, Eugene, OR 97401-6044 | 2006-12-13 |
| 1588744809 | Michael Thomas Dryden | Dentist | 911 Country Club Rd, Suite 140, Eugene, OR 97401-6044 | 2006-10-17 |
| Find all providers in EUGENE | ||||
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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.