CHERRY DENTAL OF BEAVERTON (NPI# 1841724481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841724481 |
| Entity Type | Organization |
| Organization Name | CHERRY DENTAL OF BEAVERTON |
| Practice Address |
8070 Sw Hall Blvd Suite 100 Beaverton OR 97008-6419 |
| Practice Telephone | 5035677461 |
| Practice Fax Number | 5036416431 |
| Mailing Telephone | 5035677461 |
| Mailing Fax Number | 5036416431 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MRS. ANGELA KATI MARECEK (OFFICE MANAGER) |
| Authorized Official Telephone | 5036441110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CHERRY DENTAL OF BEAVERTON, LLC | 8070 Sw Hall Blvd, Beaverton, OR 97008 |
| Street Address |
8070 SW HALL BLVD SUITE 100 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073526620 | Robert William Breitenstein Jr. | Chiropractor | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2006-08-14 |
| 1962748731 | Masa Safic Youngblood | Dental Hygienist | 8070 Sw Hall Blvd, Beaverton, OR 97008-6419 | 2012-12-22 |
| 1730442930 | Greenway Chiropractic Clinic | Chiropractor | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2012-06-21 |
| 1154557304 | Rachel Mehana Cordery | Massage Therapist | 8070 Sw Hall Blvd, Suite 100, Beaverton, OR 97008-6419 | 2009-06-02 |
| 1386870756 | Katherine Elizabeth Fobert | Massage Therapist | 8070 Sw Hall Blvd, Ste 100, Beaverton, OR 97008 | 2009-05-29 |
| 1174668156 | Dennis Gene Perala | Dentist | 8070 Sw Hall Blvd, #200, Beaverton, OR 97008-6419 | 2007-02-20 |
| 1164519708 | Hadi Nouredine Dmd | Dentist | 8070 Sw Hall Blvd, Suite 200, Beaverton, OR 97008-6419 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1457851495 | Cloud Nine Dental Care LLC | Clinic/Center | 8285 Sw Nimbus Ave Ste 185, Beaverton, OR 97008-6465 | 2018-02-16 |
| 1205447786 | Sleep Health Partners LLC | Clinic/Center | 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 | 2020-08-10 |
| 1689292781 | Pacific Northwest Dental, LLC | Clinic/Center | 12725 Sw 2nd St, Beaverton, OR 97005-2708 | 2020-07-06 |
| 1003467358 | Jade Dental LLC | Clinic/Center | 12450 Sw Pioneer Ln, Beaverton, OR 97008-8377 | 2019-09-26 |
| 1326518119 | Magnolia Family Dentistry, LLC | Clinic/Center | 1791 Nw 173rd Ave Ste 110, Beaverton, OR 97006-5630 | 2018-12-05 |
| 1093125353 | Apnea and Snoring Solutions, LLC | Clinic/Center | 14780 Sw Osprey Dr, Beaverton, OR 97007-8028 | 2014-05-07 |
| 1720322431 | Americaredental | Clinic/Center | 4350 Sw Cedar Hills Blvd Ste B, Beaverton, OR 97005-2013 | 2012-11-19 |
| 1619235983 | S. Alexander Marrero Dds, PC | Clinic/Center | 16400 Sw Hart Rd, Suite A, Beaverton, OR 97007-3457 | 2012-04-24 |
| 1750656377 | Irina Moga Dds | Clinic/Center | 4970 Sw Main Ave, Suite 200, Beaverton, OR 97005-2740 | 2012-03-14 |
| Find all providers in BEAVERTON | ||||
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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.