SHAWN A ECKSTROM (NPI# 1154304020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154304020 |
| Entity Type | Individual |
| Full Name | SHAWN A ECKSTROM |
| Credential | DDS |
| Practice Address |
51 Santa Clara Ave Eugene OR 97404-2077 |
| Practice Telephone | 5416864567 |
| Practice Fax Number | 5412283230 |
| Mailing Telephone | 5416864567 |
| Mailing Fax Number | 5412283230 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2016-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D7979 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 229349 | 05 |
| Street Address |
51 SANTA CLARA AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-2077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790172831 | Dr. Shawn Eckstrom, D.d.s., P.C. | Dentist | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2015-04-15 |
| 1336575273 | Sonja A. Sproul, D.d.s., P.C. | Dentist | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2013-09-24 |
| 1790035970 | William B Sproul | Dentist | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2012-09-14 |
| 1730437450 | Sonja A Sproul | Dentist | 51 Santa Clara Ave, Eugene, OR 97404 | 2012-08-28 |
| 1295001998 | William B Sproul, D.m.d., P.C. | Clinic/Center | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2012-03-27 |
| 1952566333 | Howard F. Curtis | Dentist | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2008-07-24 |
| 1255492047 | William B. Sproul, D.m.d., P.C. | Dentist | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2006-12-13 |
| 1346350824 | Howard F Curtis | Dentist | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362470 | Scott G Baker | Dentist | 2455 York St, Eugene, OR 97404-1955 | 2018-10-22 |
| 1477031532 | Timothy Lee | Dentist | 1680 Chambers St Ste 205, Eugene, OR 97402-3655 | 2018-08-01 |
| 1598250987 | Harmeet Kaur | Dentist | 2377 Oakmont Way # B, Eugene, OR 97401-6459 | 2018-06-27 |
| 1972024552 | Erik Jenson | Dentist | 1814 Coburg Rd Ste 2, Eugene, OR 97401-4986 | 2017-07-04 |
| 1255718086 | Arrow Dental LLC | Dentist | 890 Seneca Rd Ste 100, Eugene, OR 97402-6900 | 2015-04-30 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1386960805 | Elizabeth A. Vivona Dow | Dentist | 4750 Village Plaza Loop Ste 200, Eugene, OR 97401-6607 | 2010-04-08 |
| 1487886073 | Mulford Family Dentistry | Dentist | 622 E. 22nd Avenue, Bldg G, Eugene, OR 97405 | 2009-08-14 |
| 1669633483 | Amy Rebecca Mcdaniel | Dentist | 622 E 22nd Ave Ste A, Eugene, OR 97405-2989 | 2008-06-24 |
| 1558558973 | Robert Glen Rust Jr. | Dentist | 358 E 40th Ave, Eugene, OR 97405-3404 | 2007-09-30 |
| 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.