DR. R DEAN NYQUIST (NPI# 1902899883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902899883 |
| Entity Type | Individual |
| Full Name | DR. R DEAN NYQUIST |
| Credential | D.M.D. |
| Practice Address |
1230 Ne 3rd St Suite A-174 Bend OR 97701-4367 |
| Practice Telephone | 5413896600 |
| Practice Fax Number | 5413892965 |
| Mailing Telephone | 5413896600 |
| Mailing Fax Number | 5413892965 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24157 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4651 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON HEALTH PLAN | 13683-8 | 01 |
| Street Address |
1230 NE 3RD ST SUITE A-174 |
| City | BEND |
| State | OR |
| Zip Code | 97701-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366876195 | Matthew Richard Tompkins | Chiropractor | 1230 Ne 3rd St, Ste A152, Bend, OR 97701-4376 | 2013-08-28 |
| 1245585769 | Kristen Poppert | Counselor | 1230 Ne 3rd St, Bend, OR 97701 | 2012-07-20 |
| 1780872440 | Natural Approach Chiropractic | Chiropractor | 1230 Ne 3rd St, Suite A165, Bend, OR 97701-4331 | 2007-10-09 |
| 1851415921 | Amy Lynnette Lafferty | Occupational Therapist | 1230 Ne 3rd St, Suite A165, Bend, OR 97701-4331 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871911438 | Matthew Anderson | Dentist | 2565 Ne Butler Market Rd, Bend, OR 97701-1587 | 2014-04-01 |
| 1306071667 | Jean A. Lewis Dmd, PC | Dentist | 1245 Se 3rd St Ste A1, Bend, OR 97702-2162 | 2009-05-15 |
| 1174730287 | Rex Shannon Gibson | Dentist | 1245 Se 3rd St, Ste #a-1, Bend, OR 97702-2161 | 2007-05-17 |
| 1528275658 | Stephanie Edian Wold-christensen | Dentist | 1475 Sw Chandler Ave Ste 202, Bend, OR 97702-3240 | 2007-05-17 |
| 1992706055 | Cascade Kids Dental | Dentist | 572 Sw Bluff Dr, Ste A, Bend, OR 97702-1260 | 2005-08-10 |
| 1861497885 | Steven Christensen | Dentist | 1475 Sw Chandler Ave, Ste 202, Bend, OR 97702-3240 | 2005-06-16 |
| 1154645471 | Bradley Blake Field | Dentist | 1245 Se 3rd St Ste A1, Bend, OR 97702-2162 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297279 | Dennis M Dunne Dds PC | Dentist | 1600 Executive Pkwy Ste 350, Eugene, OR 97401-7110 | 2020-02-20 |
| 1225678139 | Eric E Jacobsen Dds PC | Dentist | 19502 Molalla Ave Ste 109, Oregon City, OR 97045-4513 | 2020-01-08 |
| 1982168506 | Anthony Frank Vinciguerra | Dentist | 37315 Second St, Nehalem, OR 97131-9679 | 2019-01-28 |
| 1114493582 | Matt W Anderson Dds PC | Dentist | 2215 Willamette St Ste A, Eugene, OR 97405-3341 | 2018-10-23 |
| 1366923245 | Big Tooth Little Tooth Pediatric Dentistry PC | Dentist | 2020 8th Ave Ste 121, West Linn, OR 97068-4657 | 2018-08-28 |
| 1578057618 | Bittner & Flann LLC | Dentist | 17680 Sw Handley St Ste 201, Sherwood, OR 97140-9299 | 2018-06-21 |
| 1700374154 | Fox Kids Dentistry & Orthodontics II | Dentist | 1401 Se Morrison St Ste 120, Portland, OR 97214-2777 | 2018-05-01 |
| 1053812081 | Armin Afshar | Dentist | 201 Se Washington St Ste A, Dallas, OR 97338-2860 | 2018-02-25 |
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1790225399 | Childrens Dentistry | Dentist | 515 W Idaho Ave, Ontario, OR 97914-2348 | 2017-03-01 |
| Find all providers with the same taxonomy | ||||
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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.