DR. JOHN CHARLES FRACHELLA (NPI# 1043360167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043360167 |
| Entity Type | Individual |
| Full Name | DR. JOHN CHARLES FRACHELLA |
| Credential | DMD |
| Practice Address |
1424 Sw 15th Redmond OR 47756 |
| Mailing Address |
Po Box 254 Mitchell OR 97750-0254 |
| Practice Telephone | 4063386182 |
| Mailing Telephone | 5414623055 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D8841 | OR | Dental Providers |
| Street Address |
1424 SW 15TH |
| City | REDMOND |
| State | OR |
| Zip Code | 47756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952145 | Lourdes Prieto | Interpreter | 11522 157th Ct Ne, Redmond, WA 98052-2453 | 2020-11-08 |
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1063013944 | Shelia Anne Kandeler | Doula | 5008 162nd Ave Ne, Redmond, WA 98052-7000 | 2020-11-05 |
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1295333235 | Nike Hokama | Physical Therapist | 2227 152nd Ave Ne Ste A, Redmond, WA 98052-5519 | 2020-10-12 |
| 1871190900 | Gianni Elizabeth | Counselor | 1655 Sw Highland Ave Ste 5, Redmond, OR 97756-2558 | 2020-10-01 |
| 1447866959 | Rahul Prakash, Dds, Pllc | Clinic/Center | 15759 Ne 100th Way, Redmond, WA 98052-1002 | 2020-09-21 |
| 1013522358 | Terri Ann Truesdale | Chiropractor | 4455 Sw Salmon Pl, Redmond, OR 97756-1983 | 2020-09-14 |
| 1821603275 | Maria Sigheartau | Custodial Care Facility | 16228 Ne 100th St, Redmond, WA 98052-3039 | 2020-09-12 |
| 1477168060 | Yi-jiun Chai | Interpreter | 12511 177th Ave Ne, Redmond, WA 98052-2109 | 2020-09-10 |
| Find all providers in REDMOND | ||||
| 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 |
|---|---|---|---|---|
| 1114279627 | Clara Rhieu | Dentist | 15436 Bel Red Rd Ste 200, Redmond, WA 98052-5536 | 2012-10-08 |
| 1306124193 | Stephen G. Sadler | Dentist | 17130 Avondale Way Ne Ste 118, Redmond, WA 98052-4455 | 2011-07-27 |
| 1316239098 | David R. Atherton Dds Pllc | Dentist | 17130 Avondale Way Suite 118, Redmond, WA 98052-4455 | 2011-05-12 |
| 1386820686 | Shadi Mohammadi Araghi | Dentist | 15791 Bear Creek Pkwy, Apt A531, Redmond, WA 98052-4346 | 2008-01-16 |
| 1760681134 | Chris W Chen | Dentist | 15446 Bel Red Rd Ste 300, Redmond, WA 98052-5507 | 2007-07-16 |
| 1649322637 | Yushan S Chang | Dentist | 15230 Ne 24th St Ste N, Redmond, WA 98052-5540 | 2007-01-18 |
| 1134204191 | Stephanie M Su | Dentist | 16650 Ne 79th St, #100, Redmond, WA 98052-4442 | 2006-10-26 |
| 1700822517 | Catherine M Quas | Dentist | 1429 Sw 15th St, Redmond, OR 97756-2965 | 2006-06-21 |
| 1821652546 | Sadler Dental Pllc | Dentist | 17130 Avondale Way Ne Ste 118, Redmond, WA 98052-4455 | 2019-04-29 |
| 1912304528 | Burrus Dentistry PC | Dentist | 413 Nw Larch Ave, Suite 201, Redmond, OR 97756-1361 | 2014-11-25 |
| Find all providers in REDMOND | ||||
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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.