Individual provider Active NPI

Tamar Karina Hedeshian, DDS

  • Dentist
  • Siletz, OR
National Provider Identifier
1932093481
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12175 Issued in OR
Practice address
200 Gwee Shut Rd
Siletz, OR 97380-2036
Phone
(541) 444-9681
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12175 OR Primary

Addresses

Primary practice location

200 Gwee Shut Rd
Siletz, OR 97380-2036

Mailing address

2006 NW Clipper St
Waldport, OR 97394-9521
Phone (720) 425-8436

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000641 OR Order and Referring Only - DentistPractitioner - Dentist 2264933910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: tamara.hedshian.p1@direct.siletzhealthclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1932093481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NW CLIPPER ST",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973949521",
            "telephone_number": "720-425-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GWEE SHUT RD",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973802036",
            "telephone_number": "541-444-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDESHIAN",
        "first_name": "TAMAR",
        "middle_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siletz, OR

Sources for this page

Verify at the official NPI Registry.