BRAD ALAN CHVATAL (NPI# 1629185889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629185889 |
Entity Type | Individual |
Full Name | BRAD ALAN CHVATAL |
Credential | DMD MS |
Practice Address |
1680 Chambers St Suite 205 Eugene OR 97402 |
Practice Telephone | 5416838490 |
Practice Fax Number | 5413025750 |
Mailing Telephone | 5416838490 |
Mailing Fax Number | 5413025750 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-07-08 |
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 |
D7366 | OR | Dental Providers |
Street Address |
1680 CHAMBERS ST SUITE 205 |
City | EUGENE |
State | OR |
Zip Code | 97402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770561631 | Andrew Chester Schink | Podiatrist | 1680 Chambers St, Suite 201, Eugene, OR 97402-3655 | 2006-01-02 |
1508357740 | Jennifer Poynter | Registered Nurse | 1680 Chambers St, Eugene, OR 97402 | 2018-05-23 |
1538678446 | Angela Wagner | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-22 |
1639688674 | Amy Trezona | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-21 |
1689183634 | Melina Granofsky | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-21 |
1780128082 | Wendy Osuna | Registered Nurse | 1680 Chambers St, Eugene, OR 97402-3655 | 2016-12-06 |
1568834273 | Dawn Elaine Lowe | Dental Hygienist | 1680 Chambers St, Suite 204, Eugene, OR 97402-3655 | 2015-10-21 |
1578994851 | Eugene Foot and Ankle Center, LLC | Exclusive Provider Organization | 1680 Chambers St, Ste 201, Eugene, OR 97402-3655 | 2013-12-11 |
1164772554 | Wenlang Zhang | Dentist | 1680 Chambers St, Suite 204, Eugene, OR 97402-3655 | 2012-09-13 |
1497017354 | Mark Robert Mueller | Family Medicine | 1680 Chambers St, Suite 103, Eugene, OR 97402-3655 | 2012-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
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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 |
---|---|---|---|---|
1033516232 | Dennis Wade Trammell | Dentist | 2215 Willamette St. Suite B, Eugene, OR 97405-2847 | 2014-12-03 |
1821302639 | Dan James Floyd | Dentist | 1020 Green Acres Rd Ste 15, Eugene, OR 97408-1715 | 2010-08-04 |
1003093642 | Jady L Chiakowsky | Dentist | 1814 Coburg Rd Ste 1, Eugene, OR 97401-4986 | 2008-01-25 |
1134336688 | Dennis W Trammell, Dmd, Msd, LLC | Dentist | 2215 Willamette St Ste B, Eugene, OR 97405-2847 | 2007-05-16 |
1316051543 | David George Niles | Dentist | 2555 Cal Young Rd, Eugene, OR 97401-6441 | 2006-08-17 |
1386641447 | W. Gray Grieve | Dentist | 995 Willagillespie Rd, Suite 400, Eugene, OR 97401-2186 | 2005-07-05 |
1811993819 | Jedidiah R Gass Sr. | Dentist | 992 Country Club Rd, Ste 102, Eugene, OR 97401-6023 | 2005-06-23 |
1467900241 | Oregon Family Orthodontics LLC | Dentist | 4122 Quest Dr, Eugene, OR 97402-8768 | 2016-09-21 |
1134384472 | Benita Pei-lin Wong | Dentist | 2650 Suzanne Way, Suite 170, Eugene, OR 97408-7319 | 2008-07-25 |
1710197728 | Benjamin R Thornton | Dentist | 1800 Valley River Dr, Suite #201, Eugene, OR 97401-6714 | 2007-05-22 |
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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.