Active NPI
Dimitrios J. Vareldzis DDS PC
- Dentist
- Medford, OR
National Provider Identifier
1023438355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6471
- Legal business name
- DIMITRIOS J. VARELDZIS DDS PC
- Doing business as
- Hillcrest Family Dentistry
- Practice address
- 737 Golf View Dr Unit a
Medford, OR 97504-9653 - Phone
- (541) 779-4196
- Fax
- (541) 779-4196
- NPI assigned
- Apr 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah K Vareldzis
- Title
- Business Manager
- Phone
- (415) 261-9616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D6471 | OR | Primary |
Addresses
Primary practice location
737 Golf View Dr Unit a
Medford, OR 97504-9653
Mailing address
737 Golf View Dr Unit a
Medford, OR 97504-9653
Phone (541) 779-4196
Other names 1
- Hillcrest Family Dentistry
National Provider Directory
National Provider DirectoryLocations
3265 Hillcrest Park Dr
Medford, OR 97504
Phone (541) 275-6655
737 Golf View Dr
Unit A
Medford, OR 97504
Phone (541) 773-4435
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Medford, OR
- NPI 1366563520
-
- Dentist
- Medford, OR
- NPI 1841354727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608163200000",
"number": "1023438355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 GOLF VIEW DR UNIT A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049653",
"telephone_number": "541-779-4196",
"fax_number": "541-779-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 GOLF VIEW DR UNIT A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049653",
"telephone_number": "541-779-4196",
"fax_number": "541-779-4196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMITRIOS J. VARELDZIS DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-25",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A",
"authorized_official_last_name": "VARELDZIS",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "415-261-9616"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OR",
"license": "D6471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillcrest Family Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hillcrest Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.