DR. RUBEN ISAIAS ALCAZAR (NPI# 1376888297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376888297 |
| Entity Type | Individual |
| Full Name | DR. RUBEN ISAIAS ALCAZAR |
| Credential | D.D.S. |
| Practice Address |
4925 Sw Griffith Dr Beaverton OR 97005-2923 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DTP582 | FL | Dental Providers |
| Street Address |
4925 SW GRIFFITH DR |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447361381 | Gary V. Dixon | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2006-08-31 |
| 1013568294 | Jonathan Juyun Kim | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-09-27 |
| 1932752581 | Yuzhu Lin | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-07-23 |
| 1376105858 | Yashar Sekhavatmandi | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-07-03 |
| 1437632692 | Diana Reyes Lee | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2018-09-12 |
| 1659867349 | Michael Lindsay | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2018-07-05 |
| 1982123014 | Amanda Jo Yoder | Dental Hygienist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2017-09-09 |
| 1861845729 | Kayla Marie Walters | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2016-07-15 |
| 1003268319 | Catherine Bom Kim | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2016-07-11 |
| 1932568474 | Franklin A Nguyen | Dental Hygienist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2016-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1396884052 | Roy F Dornsife | Dentist | 8625 Sw Cascade Ave, Suite 105, Beaverton, OR 97008 | 2007-02-06 |
| 1659370468 | Kevin William Ensley | Dentist | 3810 Sw Hall Blvd, Beaverton, OR 97005-2048 | 2005-07-14 |
| 1972924595 | Camille Walker, Dds, P.C. | Dentist | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2013-12-27 |
| 1447515747 | Beaverton Orthodontics, PC | Dentist | 14795 Sw Murray Scholls Dr, Ste 119, Beaverton, OR 97007-9713 | 2012-07-12 |
| 1598044802 | John F Delplanche | Dentist | 10700 Sw Beaverton Hillsdale Hwy, Suite 115, Beaverton, OR 97005-3019 | 2011-08-04 |
| 1821235839 | Eric C Burgin | Dentist | 16155 Nw Cornell Rd, Ste 450, Beaverton, OR 97006-4810 | 2009-01-13 |
| 1093916777 | Roy Franklin Dornsife | Dentist | 8625 Sw Cascade Ave, Suite 105, Beaverton, OR 97008 | 2007-05-30 |
| 1003032483 | Mark O Shoger | Dentist | 14780 Sw Osprey Dr, Suite 345, Beaverton, OR 97007-8028 | 2007-04-17 |
| 1831253335 | Mark James Vandusen | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2006-12-20 |
| 1174530091 | Steven W. Black | Dentist | 14795 Sw Murray Scholls Dr, Ste 119, Beaverton, OR 97007-9713 | 2006-08-02 |
| Find all providers in BEAVERTON | ||||
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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.