Christian Brent Pahls, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D8932 Issued in OR

Practice address

346 N Central St
Coquille, OR 97423-1244

Phone

(541) 396-3495

Fax

(541) 396-3860

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pahls Dentistry PC

  • Dentist
  • Coquille, OR
  • NPI 1730417106
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1003006941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 N CENTRAL ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231244",
            "telephone_number": "541-396-3495",
            "fax_number": "541-396-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 N CENTRAL ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231244",
            "telephone_number": "541-396-3495",
            "fax_number": "541-396-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHLS",
        "first_name": "CHRISTIAN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Kevin Norton, DC
• Oregon Hearing Professionals, Inc.
• Oregon Retina, LLP
• Pacific Sleep & Respiratory Diagnostics, LLC
• Pahls Dentistry PC
• Herman Christian Pahls, DDS
• Pathfinders Behavioral Health LLC
• Stanley C Pense, M.D.
• Sangeeta Poudel, MD
• Wayne George Randall

• Dentist in Coquille, OR
• Providers in Coquille, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.