Organization Active NPI

Robert G. Whicker, DDS, PC

  • Dental Clinic/Center
  • Eugene, OR
National Provider Identifier
1003228511
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8708 Issued in OR
Legal business name
ROBERT G. WHICKER, DDS, PC
Doing business as
Wellness Centered Dentistry
Practice address
4725 Village Plaza Loop Ste 101
Eugene, OR 97401-6677
Phone
(541) 868-2008
Fax
(541) 868-2009
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Robert G Whicker, DDS
Title
Owner
Phone
(541) 868-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8708 OR Primary

Addresses

Primary practice location

4725 Village Plaza Loop Ste 101
Eugene, OR 97401-6677

Mailing address

4725 Village Plaza Loop Ste 101
Eugene, OR 97401-6677
Phone (541) 868-2008

Other names 1

  • Wellness Centered Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1003228511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-868-2008",
            "fax_number": "541-868-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-868-2008",
            "fax_number": "541-868-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. WHICKER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "WHICKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-868-2008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Centered Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.