Tess Rebecka Gladstone, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D10790 Issued in OR

Practice address

4817 River Rd N
Keizer, OR 97303

Phone

(503) 874-4560

NPI assigned

May 28, 2015

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acorn Dentistry for Kids - Corvallis, LLC

  dba Acorn Dentistry For Kids - Corvallis

  • Dental Clinic/Center
  • Corvallis, OR
  • NPI 1669960019
  NPD (past)
• Acorn Dentistry for Kids - Hillsboro, LLC

  dba Acorn Dentistry For Kids - Hillsboro

  • Dental Clinic/Center
  • Hillsboro, OR
  • NPI 1104314558
  NPD (past)
• Acorn Dentistry for Kids - West Salem, LLC

  dba Acorn Dentistry for Kids - West Salem

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1043869191
  NPD (past)

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1356720908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034537",
            "telephone_number": "503-874-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-874-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13420 Jamaica Ave",
            "address_2": "Third Floor",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114182619",
            "country_code": "US",
            "telephone_number": "718-206-6980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADSTONE",
        "first_name": "TESS",
        "middle_name": "REBECKA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D10790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Giddings, MA, LMFT, ATR-BC
• Olga Gililland
• Angela Gimeno
• Lisa M Gitelson, DMD
• Robert Even Gitelson, MSW, LCSW
• Golden Crane Counseling, LLC
• David Alexander Gonzalez, DPT, PT
• Susana Cortez Gonzalez, MSN, APRN, PMHNP-BC
• Janelle Gordon, PT
• Sara Lauren Gordon, MS, ATC

• Pediatric Dentistry in Keizer, OR
• Providers in Keizer, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.