ERDA CARMEL PRADEL (NPI# 1386041358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386041358 |
| Entity Type | Individual |
| Full Name | ERDA CARMEL PRADEL |
| Credential | D.M.D. |
| Practice Address |
3490 Lancaster Dr Ne Salem OR 97305-1356 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Mailing Fax Number | 3102764186 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
033975 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON BOARD OF DENTISTRY | D10975 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9201 W Sunset Blvd Ste 708, Los Angeles, CA 900693708 | 3102768317 | 3102764186 |
| Street Address |
3490 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629134630 | Mary Ann Yoo | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305 | 2006-12-28 |
| 1427693423 | Guinevere Noelle Tadina | Dental Hygienist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2019-11-13 |
| 1720500044 | Rachel Lee Means | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2017-07-07 |
| 1750835682 | John Waite | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2016-08-09 |
| 1033562939 | Scarlet Kim | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2016-07-15 |
| 1679946636 | Ying Wan | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2015-11-12 |
| 1992182026 | Willamette Dental Group | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2015-04-27 |
| 1942609607 | Monica Breana Kowalski | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305 | 2014-08-19 |
| 1447596366 | Aimee Renee Axtell | Dental Hygienist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2012-12-20 |
| 1770715005 | Michele R Davidson | Dental Hygienist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2009-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686468 | Jev A. Clark, Dmd, Md, LLC | Dentist | 120 Ramsgate Sq S Ste 110, Salem, OR 97302-5870 | 2018-04-19 |
| 1164712022 | Travis Jon Hamilton | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2011-04-12 |
| 1124242813 | Dennis Douglas Johnson | Dentist | 410 Lancaster Dr Ne, Suite A, Salem, OR 97301-4794 | 2007-04-12 |
| 1407981855 | George Michael Koumaras | Dentist | 143 Bogey Ln, Salem, VA 24153-6858 | 2007-02-23 |
| 1578666426 | John C Tackett | Dentist | 102 N Harrison St, Salem, IN 47167-1426 | 2006-09-06 |
| 1609878172 | James M. Eyre Jr. | Dentist | 250 Church St Se, Ste 102, Salem, OR 97301-8500 | 2005-08-13 |
| 1588665723 | David Wesley Howerton | Dentist | 2266 Mission St Se, Salem, OR 97302-1267 | 2005-08-10 |
| 1447258223 | Gary Theodore Pederson | Dentist | 1565 Liberty St Se, Salem, OR 97302-4345 | 2005-07-14 |
| 1174520548 | Martin J. Mehr | Dentist | 120 Ramsgate Sq S, Suite 110, Salem, OR 97302-5868 | 2005-06-30 |
| 1972996197 | Southwest Virginia Oral & Maxillofacial Surgery, Pllc | Dentist | 1940 Braeburn Dr, Suite A, Salem, VA 24153-7383 | 2015-03-12 |
| Find all providers in SALEM | ||||
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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.