Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487880548 Deactivated / Inactive NPI Female Practitioner

Dr. Kimberly Rae Ross , DDS

Dentist - General Practice • Salem, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kimberly Ross has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2009
NPI Deactivation Date June 24, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Ross, DDS was a registered Dentist - General Practice practicing in Salem, OR. Throughout an active medical career spanning 10 years, Dr. Ross provided care at the practice location at 1285 WALLACE RD NW until profile deactivation on 2019-06-24.

Practice Location & Contact Primary Location

Practice Address

1285 Wallace Rd Nw

Salem, OR 973043007

Telephone 5033919016
Fax 5033912953
Associated Practice Facility / Clinic
🏢 Riverbend Dental Clinic, Llc Facility NPI 1831325489

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
135 Specialists

Practicing in Salem, OR (1994 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D9274

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Michelle Aldrich , DMD

Dentist - General Practice

NPI 1124283809

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 24, 2019

Record deactivated on June 24, 2019

NPI Profile Active June 03, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2009

Registered at 1285 WALLACE RD NW, SALEM, OR 973043007 (Tel: 5033919016)

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Updated Business Mailing Address June 03, 2009

Registered at 1285 WALLACE RD NW, SALEM, OR 973043007 (Tel: 5033919016)

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Provider Name / Credentials Updated June 03, 2009

Recorded as KIMBERLY ROSS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2009

Dentist (License #D9274 in OR)

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Initial NPI Registration & Enumeration June 03, 2009

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: 1487880548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2009
Last Update: June 03, 2009
Deactivation Date: June 24, 2019

Mailing Address

1285 Wallace Rd Nw

Salem, OR 973043007

Phone: 5033919016

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.