East Medford Dental Clinic-La Clinica – Federally Qualified Health Center (FQHC), NPI 1891061784

East Medford Dental Clinic-La Clinica is a healthcare provider. based in Medford, Oregon. specializing in Federally Qualified Health Center (FQHC). The NPI Number for East Medford Dental Clinic-La Clinica is 1891061784

Main info

Organization
Name
East Medford Dental Clinic-La Clinica
NPI
1891061784
Phone
(541) 535-6239
Address
931 CHEVY WAY
Authorized Official
TARA LYNETTE JEANNOT CHIEF OPERATIONS OFFICER
Enumeration Date
26 March 2012
Last Update Date
15 July 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for East Medford Dental Clinic-La Clinica

  • 931 CHEVY WAY

    MEDFORD, OR 975044127

    Phone: (541) 535-6239

    Fax: (541) 842-2212

    Type: Mailing

  • 1113 PROGRESS DR

    MEDFORD, OR 97504

    Phone: (541) 512-3900

    Fax: (541) 414-1175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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Reviews

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Frequently asked questions

Can I use this page to confirm East Medford Dental Clinic-La Clinica's NPI?
Yes. East Medford Dental Clinic-La Clinica is listed with NPI 1891061784 in the public NPI dataset.
Does the file indicate East Medford Dental Clinic-La Clinica is practicing under active NPI?
Directory data currently reports East Medford Dental Clinic-La Clinica as active.
What healthcare role does East Medford Dental Clinic-La Clinica hold?
Scheduling teams often label East Medford Dental Clinic-La Clinica under Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Does East Medford Dental Clinic-La Clinica list a practice location?
Patients near Medford, Oregon may find East Medford Dental Clinic-La Clinica in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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