CORNELIUS TENDERCARE DENTAL PC (NPI# 1922424738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922424738 |
| Entity Type | Organization |
| Organization Name | CORNELIUS TENDERCARE DENTAL PC |
| Practice Address |
1890 Baseline St Cornelius OR 97113-8208 |
| Practice Telephone | 5033570004 |
| Practice Fax Number | 5033598856 |
| Mailing Telephone | 5033570004 |
| Mailing Fax Number | 5033598856 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | DR. JUSTIN R MAROSTICA (PRESIDENT) |
| Authorized Official Telephone | 5038580741 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9419 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORNELIUS TENDERCARE DENTAL PC | 1890 Baseline St, Cornelius, OR 97113 |
| Street Address |
1890 BASELINE ST |
| City | CORNELIUS |
| State | OR |
| Zip Code | 97113-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748265 | Joshua David Shinoda | Optometrist | 195 N Adair St., Ste E, Cornelius, OR 97113 | 2014-07-22 |
| 1265777445 | Trisstin Colleen Mccallister | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2012-11-29 |
| 1083929277 | Wal-mart Stores Inc | Technician/Technologist | 220 N Adair, Cornelius, OR 97113 | 2010-08-11 |
| 1720392608 | Darin Closson | Optometrist | 220 N Adair Street, Cornelius, OR 97113 | 2010-08-03 |
| 1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1760550693 | Steven M Hill | Dentist | 926 W Baseline, Cornelius, OR 97113 | 2006-11-30 |
| 1811936362 | Susan A Kass | Nurse Practitioner | 1151 N. Adair Street, Cornelius, OR 97113 | 2006-06-06 |
| 1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
| 1730514902 | Caitlyn Joy Monks | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2013-09-06 |
| Find all providers in zip 97113 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922322445 | Emerson T Rowley Dmd PC | Clinic/Center | 926 Baseline St, Cornelius, OR 97113-8312 | 2010-03-26 |
| 1639320138 | Daniel D Skotzko Dds Pa | Clinic/Center | 20816 N Main St Ste 202, Cornelius, NC 28031-8468 | 2008-10-02 |
| 1386824092 | Terry E. Callison, D.d.s., M.s., P.a. | Clinic/Center | 19410 Jetton Rd, Suite 210, Cornelius, NC 28031-4411 | 2007-11-09 |
| 1740547694 | Virginia Garcia Memorial Health Center | Clinic/Center | 44 N 11th Ave, Cornelius, OR 97113-9020 | 2012-04-17 |
| 1134305683 | Kenneth R. Mcgrath, D.d.s., P.a. | Clinic/Center | 8301 Magnolia Estates Dr, Suite 4, Cornelius, NC 28031-8050 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834375 | Geoffrey R Clive Dds LLC | Clinic/Center | 11082 Se Oak St, Milwaukie, OR 97222-6692 | 2020-09-04 |
| 1508416041 | Columbia River Dentistry-gresham, LLC | Clinic/Center | 1700 Nw Civic Dr Ste 320, Gresham, OR 97030-3774 | 2019-09-17 |
| 1063065068 | Portland Dental Smiles | Clinic/Center | 732 Sw 3rd Ave Ste 202, Portland, OR 97204-2409 | 2019-07-18 |
| 1104478619 | David A Allen Dds | Clinic/Center | 1059 Royal Ave, Medford, OR 97504-6127 | 2019-07-15 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1164080875 | Central Point Dental LLC | Clinic/Center | 12338 Se 143rd Pl, Happy Valley, OR 97086-6545 | 2019-05-29 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1558839498 | Kevin Prates Dds, PC | Clinic/Center | 1002 10th St Ste 1, Hood River, OR 97031-1564 | 2018-11-08 |
| 1063993749 | Roots Dental Stark LLC | Clinic/Center | 16338 Se Stark St, Portland, OR 97233-3958 | 2018-08-22 |
| 1528546330 | Christopher Brady Dmd LLC | Clinic/Center | 4707 Ne 102nd Ave Ste A, Portland, OR 97220-3393 | 2018-08-02 |
| 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.