Active NPI
Kaitlyn Nado, DMD
- General Practice Dentistry
- Sisters, OR
National Provider Identifier
1124506431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D10847
- Practice address
- 354 W Adams Ave
Sisters, OR 97759-2619 - Phone
- (541) 904-7039
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10847 | OR | Primary |
Addresses
Primary practice location
354 W Adams Ave
Sisters, OR 97759-2619
Mailing address
PO Box 901
Sisters, OR 97759-0901
Phone (541) 904-7039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250609001209 | OR | Order and Referring Only - Dentist | 0547770661 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1124506431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 901",
"city": "SISTERS",
"state": "OR",
"postal_code": "977590901",
"telephone_number": "541-904-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 W ADAMS AVE",
"city": "SISTERS",
"state": "OR",
"postal_code": "977592619",
"telephone_number": "541-904-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADO",
"first_name": "KAITLYN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D10847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sisters, OR
- Andrew T Mohler, RPH
- Gregory Moring, LMP
- Mosaic Community Health (Mosaic Medical)
- Motivated Mental Performance
- Jeanette Maureen Murphy, PHARMD
- Taya Louise Newton, LMT
- Northwest Integrative Nutrition and Therapy (Forage Wellness Collective)
- Now and Zen Therapy, LLC (Now and Zen Parenting)
- Orange Pacific Mental Health, LLC
- Ouaricon Behavioral Health, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.