Hermiston Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERMISTON DENTAL GROUP

Practice address

540 SW 11TH St
Hermiston, OR 97838-2108

Phone

(541) 567-4143

NPI assigned

Mar 7, 2008

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pablo E Nicacio, DDSNPI 1740388834

Title

Owner

Phone

(541) 567-4143

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pablo Esteban Nicacio, DDS

  • Dentist
  • Hermiston, OR
  • NPI 1740388834
  NPD (past) Authorized official
• Raquel Ann Kafentzis, DMD

  • General Practice Dentistry
  • Richland, WA
  • NPI 1366726176
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1356511158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382108",
            "telephone_number": "541-567-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382108",
            "telephone_number": "541-567-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMISTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "NICACIO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-567-4143",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather a Bacon, PH.D., LLC (Rivercrest Behavioral Health & Wellness)
• Lacey A Heid, M.S. CCC-SLP
• Rebecca Henshaw, M.A.
• Julie Kay Hereford, FNP-C
• Anne Hermanns, CADC-R
• Hermiston Family Foot Clinic LLC
• Hermiston Fire & Emergency
• Hermiston Hearing Aid (Sound Advantage Hearing Center)
• Hermiston Hearing Aid Center
• Hermiston Highland Operations, LLC (Avamere at Hermiston)

• General Practice Dentistry in Hermiston, OR
• Providers in Hermiston, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.