Organization Active NPI

Dimitrios J. Vareldzis DDS PC

  • Dentist
  • Medford, OR
National Provider Identifier
1023438355
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6471 Issued in OR
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

Updated by the provider on Dec 17, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.