Organization Active NPI

Sean Hanson, DMD, LLC

Doing business as Oregon Smile Care Center

  • Dentist
  • Salem, OR
National Provider Identifier
1003880519
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8850 Issued in OR
Legal business name
SEAN HANSON, DMD, LLC
Doing business as
Oregon Smile Care Center
Practice address
2045 Madrona Ave SE
Suite #150
Salem, OR 97302-1149
Phone
(503) 391-2848
Fax
(503) 391-0402
NPI assigned
Feb 14, 2006
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Dr. Sean Hanson, DMDNPI 1851594162
Title
Owner
Phone
(503) 391-2848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8850 OR Primary

Addresses

Primary practice location

2045 Madrona Ave SE
Suite #150
Salem, OR 97302-1149

Mailing address

2045 Madrona Ave SE
Suite #150
Salem, OR 97302-1149
Phone (503) 391-2848

Other names 1

  • Oregon Smile Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

2045 Madrona Ave SE
Ste 150
Salem, OR 97302
Phone (503) 391-2848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1003880519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MADRONA AVE SE",
            "address_2": "SUITE #150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021149",
            "telephone_number": "503-391-2848",
            "fax_number": "503-391-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MADRONA AVE SE",
            "address_2": "SUITE #150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021149",
            "telephone_number": "503-391-2848",
            "fax_number": "503-391-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN HANSON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-391-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Smile Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.