WHITE BIRD MOBILE DENTAL (NPI# 1821477696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821477696 |
| Entity Type | Organization |
| Organization Name | WHITE BIRD MOBILE DENTAL |
| Other Organization Name | WHITE BIRD CLINIC |
| Practice Address |
1400 Mill St Eugene OR 97401-4259 |
| Practice Telephone | 5413448302 |
| Practice Fax Number | 5413433494 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | KIM FREUEN (DENTAL CLINIC COORDINATOR) |
| Authorized Official Telephone | 5413448302 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE BIRD CLINIC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D10080 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500650666 | 05 |
| Other Name | Type Code |
|---|---|
| White Bird Clinic | Doing Business As Name - Organization |
| Street Address |
1400 MILL ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467653766 | Lawrence Lyon | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2007-05-31 |
| 1386266450 | Lindsey Adkisson | Nurse Practitioner | 1400 Mill St, Eugene, OR 97401-4259 | 2020-05-12 |
| 1083182711 | Christian Malcolm Snead | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2018-11-12 |
| 1104319805 | Cari Nicole Goyne | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2018-06-08 |
| 1932612355 | Dana Lynn Omary | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2017-11-07 |
| 1902285133 | Christianna Hannegan | Case Manager/Care Coordinator | 1400 Mill St, Eugene, OR 97401-4259 | 2015-05-20 |
| 1194074237 | Matilde Jeanette Vogt | Dental Hygienist | 1400 Mill St, Eugene, OR 97401-4259 | 2012-09-05 |
| 1164651634 | Philip Benjamin Meyer | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2009-07-06 |
| 1275776080 | Molly West Anderson | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2009-04-08 |
| 1851574867 | Michael Frank Kelley | Dentist | 1400 Mill St, Eugene, OR 97401-4259 | 2007-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917979 | Elford Mckim LLC | Clinic/Center | 1045 Willagillespie Rd Ste 125, Eugene, OR 97401-6799 | 2018-03-25 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1003228511 | Robert G. Whicker, Dds, PC | Clinic/Center | 4725 Village Plaza Loop Ste 101, Eugene, OR 97401-6677 | 2014-06-02 |
| 1043858780 | Valley River Family Dental PC | Clinic/Center | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2019-12-12 |
| 1457764920 | Lane Community College | Clinic/Center | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2014-06-03 |
| 1669895132 | Butler Family Dental, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2014-02-03 |
| 1467893347 | George A. Mccully Dmd PC | Clinic/Center | 622 E 22nd Ave, Suite B, Eugene, OR 97405-2989 | 2013-07-09 |
| 1356698260 | Thomas E. Houston, Dmd, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2012-08-09 |
| 1174889026 | Amy R. Mcdaniel, Dmd, PC | Clinic/Center | 2233 Willamette St, Suite A, Eugene, OR 97405-2890 | 2012-04-04 |
| 1295001998 | William B Sproul, D.m.d., P.C. | Clinic/Center | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2012-03-27 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on WHITE BIRD MOBILE DENTAL.
| 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.