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MOSAIC MEDICAL DENTAL
NPI 1942738588
Clinic/Center - Federally Qualified Health Center (FQHC) in Redmond, OR

Active since May 26, 2017
1250 SW VETERANS WAY, REDMOND, OR 97756(541) 923-4462(541) 383-1883 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mosaic Medical Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSAIC MEDICAL DENTAL (NPI 1942738588) is a healthcare organization registered as a federally qualified health center (fqhc) in Redmond, Oregon and active in the NPI registry since May 2017. The organization lists Vanessa Langley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942738588
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOSAIC MEDICAL DENTAL
Location Address1250 SW VETERANS WAYRedmond, OR 97756-2585
Mailing Address600 Sw Columbia St Ste 6210Bend, OR 97702-1099 · (541) 383-3005
Phone(541) 923-4462
Fax(541) 383-1883
Organization SubpartYesParent: Mosaic Medical
Authorized OfficialVanessa LangleyCredentialing Specialist · (541) 383-3005
Enumeration DateMay 26, 2017
✔ NPI 1942738588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
1250 SW VETERANS WAY, Redmond, OR 97756
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Other Identifiers 1

Medicaid182960OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDI LOUISE DUBLE FNP
Nurse Practitioner (Family)
1250 SW VETERANS WAY
REDMOND, OR 97756
Deschutes County (541) 383-3005
MRS. MEGAN MCNEIL STONE A.P.R.N.
Nurse Practitioner (Family)
1250 SW VETERANS WAY
REDMOND, OR 97756
Deschutes County (541) 383-3005
MS. PAIGE MARIE BUSWELL RDH
Dental Hygienist
1250 SW VETERANS WAY
REDMOND, OR 97756
Deschutes County (541) 383-3005
JOCELYN MORENO
Interpreter
1250 SW VETERANS WAY
REDMOND, OR 97756
Deschutes County (541) 383-3005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mosaic Medical Dental's NPI number?

The NPI number for Mosaic Medical Dental is 1942738588. It was assigned to this organization in the NPPES registry on May 26, 2017.

Where is Mosaic Medical Dental located?

Mosaic Medical Dental is located at 1250 SW Veterans Way, Redmond, OR 97756. The listed phone number is (541) 923-4462.

What is Mosaic Medical Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Mosaic Medical Dental was last updated on May 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.