DR. ANTONIO DIAZ SANCHEZ (NPI# 1952706087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952706087 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO DIAZ SANCHEZ |
| Practice Address |
4342 Liberty Rd S Salem OR 97302-6171 |
| Mailing Address |
7606 S Fulton Park Blvd Portland OR 97219-2926 |
| Practice Telephone | 5033636500 |
| Mailing Telephone | 8058017883 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 63651 | CA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D11234 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Tejas Pl, Nipomo, CA 934449123 | 8059293211 |
| Street Address |
4342 LIBERTY RD S |
| City | SALEM |
| State | OR |
| Zip Code | 97302-6171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789376 | Kevin Roy Christiansen | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2005-09-09 |
| 1922647312 | - | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2020-01-02 |
| 1881969244 | Salem Endodontic Associates | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2012-03-19 |
| 1487765657 | Steven M Murata | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1003941170 | Jefferson B Gourley | Dentist | 142 Pembrook St Se, Salem, OR 97302-5038 | 2007-02-22 |
| 1811088222 | Lisa Beth Wipf | Dentist | 3389 Center St Ne, Salem, OR 97301 | 2006-09-28 |
| 1730198359 | Endodontics Inc | Dentist | 2 Winter St, Salem, MA 01970-3807 | 2006-08-05 |
| 1457369969 | Chris J Bowman | Dentist | 830 Liberty St Ne, Salem, OR 97301-2450 | 2006-08-03 |
| 1316962913 | Marvin E. Thews Jr. | Dentist | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2006-07-13 |
| 1891789376 | Kevin Roy Christiansen | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2005-09-09 |
| 1922647312 | - | Dentist | 4342 Liberty Rd S, Salem, OR 97302-6171 | 2020-01-02 |
| 1558779579 | David Cheung-fai Lau | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-07-23 |
| 1801216643 | Willamette Valley Endodontics, PC | Dentist | 805 High St Ne, Salem, OR 97301-2442 | 2014-04-20 |
| 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.