Ralph Michael Shirtcliff, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4459 Issued in OR

Practice address

244 NE Division St
Myrtle Creek, OR 97457-8507

Phone

(541) 239-0009

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Advantage Dental Clinics, LLC

  • General Practice Dentistry
  • Redmond, OR
  • NPI 1992935357
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1831371699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560092",
            "telephone_number": "888-468-0022",
            "fax_number": "541-504-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NE DIVISION ST",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "974578507",
            "telephone_number": "541-239-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 SW Umatilla Ave",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977567039",
            "country_code": "US",
            "telephone_number": "866-268-9616",
            "fax_number": "541-504-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRTCLIFF",
        "first_name": "RALPH",
        "middle_name": "MICHAEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "4459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180968",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restora Physical Therapy Inc
• JD Tucker Rohm, D.C.
• Lonnie D Sanders, RPH
• Emily Savage, PHARM.D (RPH)
• Jaime Francisco Serranzana, MD
• Kristina A Skinner, FNP
• Jackie J Sochin, FNP - CERTIFIED
• South Umpqua Integrated Health LLC
• Christopher L Stern, LMT
• Kimberlly Joy Stevens, FNP

• Dentist in Myrtle Creek, OR
• Providers in Myrtle Creek, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.