KENDALL R. LIDAY DDS LLC (NPI# 1912179201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912179201 |
| Entity Type | Organization |
| Organization Name | KENDALL R. LIDAY DDS LLC |
| Practice Address |
33640 E Columbia Ave Scappoose OR 97056-3425 |
| Practice Telephone | 5035434949 |
| Practice Fax Number | 5035437152 |
| Mailing Telephone | 5035434949 |
| Mailing Fax Number | 5035437152 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. KENDALL R LIDAY (OWNER) |
| Authorized Official Telephone | 5035434949 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8458 | OR | Dental Providers |
| Street Address |
33640 E COLUMBIA AVE |
| City | SCAPPOOSE |
| State | OR |
| Zip Code | 97056-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740378223 | Kendall Rae Liday | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| 1053726539 | Aaron Bynum | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056-3425 | 2014-06-24 |
| 1700974250 | Robert Emilio Andreotti | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177964 | Gregory Randolph | Physician Assistant | 51377 Sw Old Portland Rd. Suite C, Scappoose, OR 97056 | 2018-06-12 |
| 1356707681 | Bi-mart Corporation | Pharmacy | 51536 Se 2nd Street, Scappoose, OR 97056 | 2015-12-31 |
| 1720326143 | Mark Liu | Pharmacist | 51501 S. Columbia River Hwy, Scappoose, OR 97056 | 2013-01-18 |
| 1114291622 | Oregon Aero, Inc. | Durable Medical Equipment & Medical Supplies | 34020 Skyway Dr., Scappoose, OR 97056 | 2012-03-01 |
| 1619140506 | Scappoose Chiropractic Clinic PC | Clinic/Center | 52481 Sw 1st Street, Scappoose, OR 97056 | 2008-04-11 |
| 1992903454 | Family Vision of Oregon PC | Optometrist | 51675 N Columbia River Hwy, Scappoose, OR 97056 | 2007-07-06 |
| 1265649586 | Hopkins Chiropractic Clinic | Chiropractor | 51669 S. Columbia River Hwy., Suite 130, Scappoose, OR 97056 | 2007-05-17 |
| 1811062706 | Mary Davey Dower | Counselor | 51891 Old Portland Rd, Suite B, Scappoose, OR 97056 | 2006-11-24 |
| 1265533608 | Stephen Frederick Taylor | Dentist | 33454 Havlik Road, Scappoose, OR 97056 | 2006-09-26 |
| 1174621676 | Leslie D Iverson | Nurse Practitioner | 51377 Old Portland Road, Suite C, Scappoose, OR 97056 | 2006-09-20 |
| Find all providers in zip 97056 | ||||
| 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 |
|---|---|---|---|---|
| 1275962599 | Susanny Thenus | Dentist | 33454 Havlik Dr, Scappoose, OR 97056-3836 | 2013-11-07 |
| 1740378223 | Kendall Rae Liday | Dentist | 33640 E Columbia Ave, Scappoose, OR 97056 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486438 | Jane Jeeyoon Kim | Dentist | 14425 Sw Allen Blvd # 1, Beaverton, OR 97005-4402 | 2020-10-30 |
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1295333912 | John Andrew Fawcett | Dentist | 214 Jersey St, Silverton, OR 97381-1627 | 2020-10-14 |
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1235742198 | Geoffrey Houf | Dentist | 5880 Ne Cornell Rd Ste D, Hillsboro, OR 97124-9075 | 2020-08-28 |
| 1124631650 | Sugandha Gupta | Dentist | 2561 Nw 167th Ave, Beaverton, OR 97006-7643 | 2020-08-25 |
| 1609489137 | Open Door Dental Group PC | Dentist | 1710 E Pine St Ste A, Central Point, OR 97502-2811 | 2020-08-25 |
| 1720698566 | Travis Alcorn | Dentist | 2750 Kingwood St, Florence, OR 97439-9556 | 2020-08-06 |
| 1811506322 | Ruiwei Liang | Dentist | 547 Se 73rd Ave, Hillsboro, OR 97123-6199 | 2020-07-30 |
| 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.