MOSAIC MEDICAL DENTAL (NPI# 1942738588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942738588 |
Entity Type | Organization |
Organization Name | MOSAIC MEDICAL DENTAL |
Practice Address |
1250 Sw Veterans Way Redmond OR 97756-2585 |
Mailing Address |
600 Sw Columbia St Ste 6210 Bend OR 97702-1099 |
Practice Telephone | 5419234462 |
Practice Fax Number | 5413831883 |
Mailing Telephone | 5413833005 |
Enumeration Date | 2017-05-26 |
Last Update Date | 2017-05-26 |
Authorized Official Name | VANESSA LANGLEY (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 5413833005 |
Is Organization Subpart | Y |
Parent Organization Name | MOSAIC MEDICAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 182960 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659888279 | Mosaic Medical Dental | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2018-01-04 |
1174066963 | Mosaic Medical Dental | Clinic/Center | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 | 2016-11-28 |
Street Address |
1250 SW VETERANS WAY |
City | REDMOND |
State | OR |
Zip Code | 97756-2585 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760038327 | Paige Marie Buswell | Dental Hygienist | 1250 Sw Veterans Way, Redmond, OR 97756-2587 | 2019-08-09 |
1083278006 | Randi Louise Duble | Nurse Practitioner | 1250 Sw Veterans Way, Redmond, OR 97756-2587 | 2019-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992354567 | Mosaic Medical | Clinic/Center | 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2588 | 2019-09-06 |
1689194474 | Mosaic Medical | Clinic/Center | 675 Sw Rimrock Way, Redmond, OR 97756-1931 | 2017-06-22 |
1578801924 | Mosaic Medical | Clinic/Center | 1250 Sw Veterans Way Ste 120, Redmond, OR 97756-2585 | 2013-01-18 |
1114265568 | Mosaic Medical | Clinic/Center | 1314 Sw Kalama Ave, Redmond, OR 97756-3054 | 2013-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
1922656289 | Clackamas County | Clinic/Center | 39831 Highway 26, Sandy, OR 97055-6558 | 2019-08-29 |
1063067312 | Virginia Garcia Memorial Health Center | Clinic/Center | 11300 Sw Hazelbrook Rd, Tualatin, OR 97062-6980 | 2019-08-05 |
1417411505 | Klamath Health Partnership, Inc | Clinic/Center | 2210 N Eldorado Ave Ste A, Klamath Falls, OR 97601-6418 | 2019-01-23 |
1679053946 | Siskiyou Community Health Center Inc | Clinic/Center | 830 Ne 9th St, Grants Pass, OR 97526-1626 | 2018-08-16 |
1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
1598284242 | Winding Waters Medical Clinic | Clinic/Center | 401b N Main St, Joseph, OR 97846-5030 | 2017-09-13 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
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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.