KATIMARIE RALSTON (NPI# 1215414982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215414982 |
| Entity Type | Individual |
| Full Name | KATIMARIE RALSTON |
| Credential | DDS |
| Practice Address |
115 Ne May Ln Mcminnville OR 97128-9272 |
| Mailing Address |
Po Box 6149 Beaverton OR 97007-0149 |
| Practice Telephone | 5038834075 |
| Practice Fax Number | 5038834764 |
| Mailing Telephone | 5033528657 |
| Mailing Fax Number | 5033528658 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10832 | OR | Dental Providers |
| Street Address |
115 NE MAY LN |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-9272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396791885 | Sunisa Chanyaputhipong | Family Medicine | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2006-05-26 |
| 1407474331 | Subin Kim | Pharmacist | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2020-07-07 |
| 1427533405 | Christopher Michael Hansen | Dentist | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2018-09-26 |
| 1124500194 | Rachael Crooke | Physician Assistant | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2018-09-05 |
| 1386120681 | Kristen Short | Dental Hygienist | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2018-07-19 |
| 1669983771 | Hannah Mitchell | Physician Assistant | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2017-10-16 |
| 1134647621 | Angelia Christine Smith | Physician Assistant | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2017-09-05 |
| 1417473992 | Licci Jaimes | Psychologist | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2017-08-16 |
| 1447775762 | Lindsey Marie Hosch I | Pharmacist | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2017-08-08 |
| 1730552621 | Genesis Perez | Dental Hygienist | 115 Ne May Ln, Mcminnville, OR 97128-9272 | 2015-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| 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 |
|---|---|---|---|---|
| 1861675738 | William Waymon King IIi | Dentist | 2170 Big Spring Rd, Mcminnville, TN 37110-3896 | 2007-12-13 |
| 1639379522 | Shane L Ellsworth | Dentist | 704 Ne Evans St, Mcminnville, OR 97128-3926 | 2007-07-19 |
| 1326258906 | Michael Niad | Dentist | 2080 Ne Highway 99w, Mcminnville, OR 97128-6236 | 2007-05-23 |
| 1871631465 | Bradley Charles Oliver | Dentist | 641 Ne Highway 99w, Mcminnville, OR 97128-2708 | 2007-02-03 |
| 1679621932 | Amy Roberts Wark | Dentist | 2177 Nw 2nd St, Mcminnville, OR 97128-9108 | 2007-01-05 |
| 1962585620 | Brian Charles Bomberger | Dentist | 1160 Sw Booth Bend Rd, Mcminnville, OR 97128-9726 | 2006-10-24 |
| 1417065251 | James Brian Nelson | Dentist | 821 N Hwy 99w, Mcminnville, OR 97378-2738 | 2006-08-29 |
| 1689639106 | Richard J Ross | Dentist | 2425 Ne Mcdonald Ln, Mcminnville, OR 97128-2225 | 2006-04-18 |
| 1902891245 | Meredith Sue Van Voorhis | Dentist | 398 Ne Norton Ln, Mcminnville, OR 97128-8481 | 2005-09-13 |
| 1235121039 | Alfred Wendell Foltz | Dentist | 203 Ne 8th St, Mcminnville, OR 97128-4821 | 2005-08-17 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.