DR. SANDRA CARMECI (NPI# 1114003035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114003035 |
| Entity Type | Individual |
| Full Name | DR. SANDRA CARMECI |
| Credential | DDS |
| Practice Address |
483 Murphy Road Medford OR 97504 |
| Practice Telephone | 5417704496 |
| Practice Fax Number | 5417704497 |
| Mailing Telephone | 5417704496 |
| Mailing Fax Number | 5417704497 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
12018979 | OR | Dental Providers |
| Street Address |
483 MURPHY ROAD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477994200 | Therese Venedikian | Dentist | 84 High St Ste 7, Medford, MA 02155-3844 | 2013-07-09 |
| 1821151853 | Seung H Chang | Dentist | 616 Fellsway Ste 2, Medford, MA 02155-4957 | 2006-12-19 |
| 1619003548 | Therese H Venedikian Dmd PC | Dentist | 84 High St, Ste 7, Medford, MA 02155-3844 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639684301 | Halmos & Manning LLC | Dentist | 11790 Sw Barnes Rd Ste 260, Portland, OR 97225-5935 | 2017-12-04 |
| 1730540949 | Nader Rassouli PC | Dentist | 5440 Sw Westgate Dr Ste 360, Portland, OR 97221-2446 | 2016-03-15 |
| 1538440763 | Ronald J. Levine, D.m.d. | Dentist | 1540 Commercial St Se, Salem, OR 97302-4310 | 2011-09-01 |
| 1821378142 | Ronald J. Levine, D.m.d. | Dentist | 244 Country Club Rd Ste B, Eugene, OR 97401-2200 | 2011-08-17 |
| 1669603338 | Allison Carol Broyles | Dentist | 611 Sw Campus Dr # 19, Portland, OR 97239-3001 | 2009-07-29 |
| 1689888786 | Reva M Barewal | Dentist | 9300 Se 91st Ave Ste 403, Happy Valley, OR 97086-3762 | 2007-05-09 |
| 1619180007 | Pacific Dental Institute | Dentist | 12750 Sw 68th Ave, Portland, OR 97223-8596 | 2007-05-08 |
| 1194938894 | Phillip R Dahl | Dentist | 1663 W Harvard Ave, Roseburg, OR 97470-2812 | 2007-05-08 |
| 1447379581 | Christopher Fellows | Dentist | 16155 Nw Cornell Rd, Suite 450, Beaverton, OR 97006-4810 | 2007-03-28 |
| 1861546780 | Alberto J Ambard | Dentist | 6900 Sw 105th Ave, Beaverton, OR 97008 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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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.