Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548539489 Individual Practitioner Male Practitioner

Dr. Sadriddin Naimov , DMD

Dentist • Klamath Falls, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sadriddin Naimov, DMD is a registered healthcare professional specializing in Dentist in Klamath Falls, OR. Practice services are available at 2530 SHASTA WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2530 Shasta Way

Klamath Falls, OR 976014356

Telephone 5418107040
Fax 5415164049
Associated Practice Facility / Clinic
🏢 Basin Dental Care, P.c. Facility NPI 1770751224

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Klamath Falls, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Klamath Falls, OR (1289 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: 2021-01-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D9368

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License NY 056577

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D9368

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500678241 (OR)
Medicaid State Provider ID
04595915 (NY)
Commercial Insurance / Payer ID License
056577 (NY)

Secondary Practice Locations

1228 Ne 7th St

Grants Pass, OR 975261445

Phone: 5419564197

Practice Associates & Co-Workers

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

2 Associated Practitioners
Augusta Alexander

Dental Hygienist

NPI 1841786548
Kelsey League

Dental Hygienist

NPI 1922851963

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location January 28, 2021

Registered at 2530 SHASTA WAY, KLAMATH FALLS, OR 976014356 (Tel: 5418107040)

📍
Updated Business Mailing Address January 28, 2021

Registered at 442 SW UMATILLA AVE STE 200, REDMOND, OR 977567039 (Tel: 8884680022)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2021

Dentist (License #D9368 in OR)

NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 04, 2017

Registered at PO BOX 423, PENN YAN, NY 145270423 (Tel: 3155319102)

📍
Updated Practice Location April 04, 2017

Registered at 60 MAIN ST, PORT BYRON, NY 131409767 (Tel: 3157769700)

👤
Provider Name / Credentials Updated April 04, 2017

Recorded as SADRIDDIN NAIMOV, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Dentist (License #D9368 in OR)

📍
Updated Practice Location February 22, 2017

Registered at 60 MAIN ST, PORT BYRON, NY 131409767 (Tel: 3157769700)

📍
Updated Business Mailing Address February 22, 2017

Registered at 14 MAIDEN LN, PENN YAN, NY 145271208 (Tel: 3155319102)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Dentist (License #056577 in NY)

NPI Profile Active June 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2015

Registered at 215 CURTIS AVE, COOS BAY, OR 974201619 (Tel: 8884680022)

📍
Updated Business Mailing Address June 25, 2015

Registered at 442 SW UMATILLA AVE, SUITE 200, REDMOND, OR 977567039 (Tel: 5415043900)

👤
Provider Name / Credentials Updated June 25, 2015

Recorded as SADRIDDIN NAIMOV, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2015

Dentist (License #D9368 in OR)

🟢
Initial NPI Registration & Enumeration December 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1548539489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2011
Last Update: January 28, 2021
Sole Proprietor: No

Mailing Address

442 Sw Umatilla Ave Ste 200

Redmond, OR 977567039

Phone: 8884680022

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.