DR. VONNY NGANTUNG (NPI# 1760502546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760502546 |
| Entity Type | Individual |
| Full Name | DR. VONNY NGANTUNG |
| Credential | D.D.S. |
| Practice Address |
1585 Sw Marlow Ave Suite 120 Portland OR 97225-5176 |
| Mailing Address |
1101 Se Tech Center Dr Suite 195 Vancouver WA 98683-5504 |
| Practice Telephone | 5032971687 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D8294 | OR | Dental Providers |
| Street Address |
1585 SW MARLOW AVE SUITE 120 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104826817 | Scott L. Strong | Dentist | 1585 Sw Marlow Ave, Suite 216, Portland, OR 97225-5176 | 2005-07-22 |
| 1750746004 | Nancy Borman, D.o., PC | Clinic/Center | 1585 Sw Marlow Ave, Site 200, Portland, OR 97225-5176 | 2015-12-30 |
| 1619345683 | Northwest Neuro-ophthalmology LLC | Psychiatry & Neurology | 1585 Sw Marlow Ave, Ste 110, Portland, OR 97225-5176 | 2015-09-09 |
| 1922487511 | Global Integrative Medical Solutions | Clinic/Center | 1585 Sw Marlow Ave, 200, Portland, OR 97225-5176 | 2015-05-28 |
| 1114319134 | Northwest Physical Therapy Care, LLC | Physical Therapist | 1585 Sw Marlow Ave, Portland, OR 97225-5176 | 2015-02-27 |
| 1245542752 | Natalia I Makarova | Dentist | 1585 Sw Marlow Ave, Ste 120, Portland, OR 97225-5176 | 2010-07-13 |
| 1013106681 | Stephen Gordon Woodyard | Dentist | 1585 Sw Marlow Ave, Portland, OR 97225-5176 | 2007-10-19 |
| 1699977785 | Oregon Pulmonary Associates, P.C. | Internal Medicine | 1585 Sw Marlow Ave, Suite 101, Portland, OR 97225-5176 | 2007-06-01 |
| 1962522532 | Wendell King | Dentist | 1585 Sw Marlow Ave, Suite 120, Portland, OR 97225-5176 | 2007-03-29 |
| 1215092986 | Dianna Lynn Henson | Naturopath | 1585 Sw Marlow Ave, Suite 200, Portland, OR 97225-5176 | 2006-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| 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 |
|---|---|---|---|---|
| 1881209641 | Candid Maine PC | Dentist | 415 Congress St Ste 201, Portland, ME 04101-3500 | 2020-09-09 |
| 1013547116 | Comfort Orthodontics PC | Dentist | 1702 Us Highway 181 Ste A8, Portland, TX 78374-3588 | 2020-01-17 |
| 1306497094 | Smile Clinic, LLC | Dentist | 163 Fore St Ste A, Portland, ME 04101-6806 | 2019-09-24 |
| 1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1487059986 | Damonco Pllc | Dentist | 1702 Hwy 181 N, Suite A-8, Portland, TX 78374-3588 | 2014-10-27 |
| 1437581881 | Tamara Justus | Dentist | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225-5935 | 2013-08-07 |
| 1992146484 | Rachel Yamakawa | Dentist | 4419 Se Woodstock Blvd, Portland, OR 97206-6271 | 2013-07-11 |
| 1275974271 | Lauren Weber | Dentist | 0677 Sw Lowell St Apt 355, Portland, OR 97239-4423 | 2013-07-08 |
| 1255649885 | Marie Lathrop | Dentist | 5737 Se Milwaukie Ave, Portland, OR 97202-4919 | 2010-09-16 |
| 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.