JESSE R GRIDLEY (NPI# 1821398223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821398223 |
| Entity Type | Individual |
| Full Name | JESSE R GRIDLEY |
| Credential | DMD |
| Practice Address |
1885 Waite St North Bend OR 97459-1210 |
| Practice Telephone | 5417561117 |
| Practice Fax Number | 5417563811 |
| Mailing Telephone | 5417561117 |
| Mailing Fax Number | 5417563811 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9466 | OR | Dental Providers |
| Street Address |
1885 WAITE ST |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194806661 | Roger M French | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2006-10-18 |
| 1710262126 | Darin G O'bryan Dds LLC | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2011-10-17 |
| 1972684553 | Dennis Ray Brown | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265658983 | Rodger A. Galloway | Dentist | 227 W 2nd St, North Bend, WA 98045-8124 | 2007-04-18 |
| 1174678254 | James Lee Browning | Dentist | 341 Bendigo Blvd N, North Bend, WA 98045-0488 | 2007-01-25 |
| 1992856603 | Eric J Opsvig | Dentist | 482 East North Bend Way, North Bend, WA 98045 | 2007-01-16 |
| 1932279304 | Mt Si Dental Center | Dentist | 208 Main Ave S, North Bend, WA 98045-8258 | 2006-11-09 |
| 1194806661 | Roger M French | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2006-10-18 |
| 1245321678 | Kerry Earl Bailey | Dentist | 505 Nw Eighth St, North Bend, WA 98045 | 2006-09-28 |
| 1922028935 | Kelly Rae Garwood | Dentist | 142 Main Ave N, North Bend, WA 98045 | 2006-07-20 |
| 1710967336 | Jessica Buenjemia | Dentist | 2157 Broadway St, North Bend, OR 97459-2329 | 2006-01-19 |
| 1659894970 | Jonathan Raymond Morgan | Dentist | 2157 Broadway Ave, North Bend, OR 97459-2329 | 2017-07-18 |
| 1710262126 | Darin G O'bryan Dds LLC | Dentist | 1885 Waite St, North Bend, OR 97459-1210 | 2011-10-17 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
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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.