Mosaic Medical Dental
NPI 1174066963 · Federally Qualified Health Center (FQHC) · Prineville, OR
Mosaic Medical Dental is a Federally Qualified Health Center (FQHC) organization in Prineville, OR (NPI 1174066963).
Provider details
- NPI number
- 1174066963
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Mosaic Medical
- Organization subpart
- Yes
- Authorized official
- Megan Haase, Ceo(541) 447-0707
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mosaic Medical Prineville Dental
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2018-02-28
Frequently asked questions
- What is Mosaic Medical Dental's NPI number?
- Mosaic Medical Dental's National Provider Identifier (NPI) is 1174066963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mosaic Medical Dental?
- Mosaic Medical Dental is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Mosaic Medical Dental located?
- Mosaic Medical Dental's practice location on file with NPPES is 375 Nw Beaver St, Prineville, OR 97754-1802.
- What is Mosaic Medical Dental's phone number?
- The practice phone number listed in the NPPES registry for Mosaic Medical Dental is (541) 447-0707.
- Who is the authorized official for Mosaic Medical Dental?
- The authorized official listed on Mosaic Medical Dental's NPPES record is Megan Haase, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mosaic Medical Dental's NPI active?
- Yes — Mosaic Medical Dental's NPI (1174066963) is active in the NPPES registry as of the last update on 2018-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.