Cristina L Waterman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9483 Issued in OR

Practice address

8568 SW Apple Way
Portland, OR 97225-1772

Phone

(503) 292-6773

Fax

(503) 246-4206

NPI assigned

Nov 11, 2010

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Carl B. Vorhies, DDS

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1104185560
  NPD (past)
• Cristina L Rust DMD LLC

  • Dentist
  • Portland, OR
  • NPI 1154672897
  NPD (past)
• Newkirk&Montgomery,LLC

  • Dental Clinic/Center
  • West Linn, OR
  • NPI 1962650234
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1932400660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 SW HANSEN LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972240006",
            "telephone_number": "503-502-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8568 SW APPLE WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251772",
            "telephone_number": "503-292-6773",
            "fax_number": "503-246-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "CRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watercourse Wellness
• Carolyn Waterfall, LPCI
• Katharyn Waterfield, MA, LPC
• Iris M Waterlin, LMT
• Claire Ashley Waterman, M.S.
• Emily Waterman, M.D.
• Jean Louise Waterman, LCSW
• Allison Waters, MSW, MDIV, QMHP
• Amy B Waters, MD
• Anna Waters, ED.D.

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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 Nov 1, 2021; 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.