KELSEY LOONTJER (NPI# 1659931301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659931301 |
| Entity Type | Individual |
| Full Name | KELSEY LOONTJER |
| Credential | DDS |
| Practice Address |
2225 Pacific Blvd Se Ste 201 Albany OR 97321 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 8554336825 |
| Mailing Telephone | 8554336825 |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D11044 | OR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4509 Sw Vermont St Apt 2, Portland, OR 972191000 | 4022000067 |
| Street Address |
2225 PACIFIC BLVD SE STE 201 |
| City | ALBANY |
| State | OR |
| Zip Code | 97321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745550 | Charles Comerford | Dentist | 2225 Pacific Blvd Se Ste 201, Albany, OR 97321-7904 | 2007-02-08 |
| 1689156085 | Aaron Mccarley | Dentist | 2225 Pacific Blvd Se Ste 201, Albany, OR 97321-7904 | 2018-08-31 |
| 1902359193 | Alexandria Elizabeth Johnson | Dentist | 2225 Pacific Blvd Se Ste 201, Albany, OR 97321-7904 | 2016-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| 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 |
|---|---|---|---|---|
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1447628516 | Ashley Chan | Dentist | 545 Pierce St Apt 1109, Albany, CA 94706-1048 | 2015-09-08 |
| 1174918031 | Ru-mee Han | Dentist | 12 California Ave, Apt. B510, Albany, NY 12205-2850 | 2015-03-30 |
| 1629470919 | St. Peter's Hospitalof The City of Albany | Dentist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2014-09-18 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1447693064 | Ross Henry Thomas IIi | Dentist | 473 Kingswood Ct, Albany, GA 31707-3062 | 2013-04-12 |
| 1154663573 | Robert Michael Deitz | Dentist | 272 New Scotland Ave, Albany, NY 12208-3116 | 2013-03-24 |
| 1952655581 | Mh Orthodontics | Dentist | 1030 W Gordon Ave Ste A, Albany, GA 31701-4515 | 2012-11-05 |
| 1902152861 | John Frank Rymanowski | Dentist | 3 Birch Hill Rd, Albany, NY 12211-2003 | 2012-07-30 |
| Find all providers in ALBANY | ||||
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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.