Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285264036 Individual Practitioner Female Practitioner

Kelsey Tate , EFDA

Dental Assistant • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Kelsey Tate, EFDA is a registered healthcare professional specializing in Dental Assistant in Beaverton, OR. Practice services are available at 12450 SW WALKER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12450 Sw Walker Rd

Beaverton, OR 970051401

Telephone 5032771050
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Beaverton, OR (298 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-21
Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

State License OR 117418

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Rachelle Encabo , EFDA

Dental Assistant

NPI 1245861343
Tracey Remington , EFDA

Dental Assistant

NPI 1275164360
NPI 1295365559
Emily Cannucci

Dental Assistant

NPI 1316435043
Paula Byun , DH

Dental Hygienist

NPI 1518411404
Ariel Armon

Dental Assistant

NPI 1740931922

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2020

Registered at 12450 SW WALKER RD, BEAVERTON, OR 970051401 (Tel: 5032771050)

📍
Updated Business Mailing Address January 21, 2020

Registered at 12450 SW WALKER RD, BEAVERTON, OR 970051401

👤
Provider Name / Credentials Updated January 21, 2020

Recorded as KELSEY TATE, EFDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2020

Dental Assistant (License #117418 in OR)

🟢
Initial NPI Registration & Enumeration January 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285264036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2020
Last Update: January 21, 2020
Sole Proprietor: No

Mailing Address

12450 Sw Walker Rd

Beaverton, OR 970051401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.