DR. REX HOMER ERVIN (NPI# 1093947665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093947665 |
| Entity Type | Individual |
| Full Name | DR. REX HOMER ERVIN |
| Credential | D.D.S. |
| Practice Address |
2650 Washburn Way Unit 210 Klamath Falls OR 97603-4596 |
| Mailing Address |
2650 Washburn Way Unit 210 Klamath Falls OR 97603-4593 |
| Practice Telephone | 5418824461 |
| Practice Fax Number | 5418827187 |
| Mailing Telephone | 5418824461 |
| Mailing Fax Number | 5418827187 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4516 | OR | Dental Providers |
| Street Address |
2650 WASHBURN WAY UNIT 210 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811020555 | Gregory D. Enos | Acupuncturist | 2650 Washburn Way, Suite #180, Klamath Falls, OR 97603-4596 | 2007-03-13 |
| 1831649003 | Washburn Smiles, Inc | Dentist | 2650 Washburn Way, Suite 210, Klamath Falls, OR 97603-4596 | 2016-10-11 |
| 1558754820 | Millard Dental LLC | Clinic/Center | 2650 Washburn Way, Ste 200, Klamath Falls, OR 97603-4596 | 2015-03-11 |
| 1457645954 | Armando Scott Fregoso | Specialist | 2650 Washburn Way, Suite 180, Klamath Falls, OR 97603 | 2011-06-02 |
| 1003086927 | Barbara G Enos | Nurse Practitioner | 2650 Washburn Way, Suite 180, Klamath Falls, OR 97603-4596 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104194828 | Tyson F Buck | Dentist | 2650 Washburn Way Unit 210, Klamath Falls, OR 97603-4593 | 2011-12-08 |
| 1073588562 | Neil Marion Walle | Dentist | 808 Main St, Klamath Falls, OR 97601-6012 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636329 | Daniel Hoopes | Dentist | 979 Young St Ste C, Woodburn, OR 97071-4954 | 2020-07-14 |
| 1487205233 | J.r. Gregg LLC | Dentist | 1201 Se 223rd Ave Ste 220, Gresham, OR 97030-2578 | 2019-09-24 |
| 1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
| 1003381914 | Keyan Botsford | Dentist | 1625 E Mcandrews Rd Ste B, Medford, OR 97504-5334 | 2018-10-06 |
| 1316435241 | Daniel J Floyd Dmd Ms LLC | Dentist | 863 W. Main St., Suite 200, Molalla, OR 97038 | 2018-04-26 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1952761041 | Hi 5 Orthodontics | Dentist | 18325 Sw Alexander, Suite 2, Aloha, OR 97003 | 2016-03-02 |
| 1992181838 | Shannon Woods | Dentist | 2500 Ne Twin Knolls Dr Ste 250, Bend, OR 97701-4786 | 2015-08-03 |
| 1790169217 | Ortho Country Orthodontics LLC | Dentist | 1300 Ne Alpha Dr, Mcminnville, OR 97128-9711 | 2015-07-14 |
| 1033516232 | Dennis Wade Trammell | Dentist | 2215 Willamette St. Suite B, Eugene, OR 97405-2847 | 2014-12-03 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
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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.