Min Ah Deainza, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8725 Issued in OR

Practice address

2900 Rawhide St
West Linn, OR 97068-2313

Phone

(503) 545-4220

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578586913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 RAWHIDE ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682313",
            "telephone_number": "503-545-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 RAWHIDE ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682313",
            "telephone_number": "503-545-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAINZA",
        "first_name": "MIN",
        "middle_name": "AH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010604",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Elaine Davis
• Spencer Todd Davis, LMT
• DC West Linn Owner, LLC (Tanner Spring Assisted Living)
• Cristina Therese De Castro-Dela Cruz, MD
• Filippe De Lima Gomes
• Dennis Gerard Dean, CRNA
• James Winfield Decker, PHARMACIST
• Dermatology Solutions LLC
• Kameron Candace Dill, PSY.D.
• Michelle Marie Doel, HEALTH COACH

• General Practice Dentistry in West Linn, OR
• Providers in West Linn, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.