DR. ERICKA SMITH (NPI# 1235682881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235682881 |
| Entity Type | Individual |
| Full Name | DR. ERICKA SMITH |
| Credential | DMD |
| Practice Address |
17130 Sw Upper Boones Ferry Rd Portland OR 97224-7004 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10712 | OR | Dental Providers |
| N | 122300000X | Dentist | 9850562-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941825 | Ericka Melissa Smith | Dental Hygienist | 14577 Rosemont Ave, Detroit, MI 48223-2338 | 2020-01-08 |
| 1689944654 | Ericka Lynn Smith | Registered Nurse | 5713 Charlesgate Rd, Huber Heights, OH 45424-1116 | 2012-01-09 |
| 1528668308 | Ericka Smith | Pharmacist | 11400 W Broad St Rd, Glen Allen, VA 23060-5821 | 2020-10-29 |
| 1639783053 | Ericka Renee Smith | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| 1457893521 | Ericka Smith | Behavioral Analyst | 10620 Treena St, San Diego, CA 92131-1140 | 2016-11-07 |
| 1821444738 | Ericka Smith | Specialist/Technologist | 6805 Bobcat Way, Dublin, OH 43016 | 2016-05-10 |
| 1346597481 | Ericka Heather Smith | Physical Therapy Assistant | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2012-08-08 |
| Street Address |
17130 SW UPPER BOONES FERRY RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97224-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306983440 | Trevor Daniel Woolf | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2007-01-30 |
| 1023673019 | Anna Tu-anh Nonaka | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2019-05-05 |
| 1043634579 | Michael Steven Blindheim | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2014-02-04 |
| 1033464524 | Thomas David Cardwell | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2012-07-20 |
| 1821239872 | Melanie Janelle Grant | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2009-03-19 |
| 1902044761 | Tristan Vittorio Martin | Dentist | 17130 Sw Upper Boones Ferry Rd, Portland, OR 97224-7004 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1255975561 | Michigan Sleep Solutions LLC | Dentist | 8037 Abbey Rd., Portland, MI 48875-9774 | 2019-10-30 |
| 1073162699 | Ryan Douglas Mccormick | Dentist | 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 | 2019-09-06 |
| 1255989497 | Owen Ritter Lund | Dentist | 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 | 2019-08-30 |
| 1023663119 | Xiaochen Zhou | Dentist | 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 | 2019-08-06 |
| 1598223919 | Portland Modern Dentistry | Dentist | 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 | 2019-03-05 |
| 1922571942 | Rashmi, LLC | Dentist | 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 | 2019-01-03 |
| 1053891051 | Waleed Almulla | Dentist | 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 | 2018-08-19 |
| 1558848333 | Kelsey Mcevoy | Dentist | 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 | 2018-07-24 |
| Find all providers in PORTLAND | ||||
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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.