Active NPI
Theresa C Asper, D.D.S.
- General Practice Dentistry
- Coos Bay, OR
National Provider Identifier
1003994146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7841
- Practice address
- 375 Park Ave Ste 7-8
Coos Bay, OR 97420-2244 - Phone
- (541) 269-1317
- Fax
- (541) 269-7817
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7841 | OR | Primary |
Addresses
Primary practice location
375 Park Ave Ste 7-8
Coos Bay, OR 97420-2244
Mailing address
375 Park Ave Ste 7-8
Coos Bay, OR 97420-2244
Phone (541) 269-1317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D7841 | Other | OR | DENTIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7841 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003994146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 PARK AVE STE 7-8",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202244",
"telephone_number": "541-269-1317",
"fax_number": "541-269-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 PARK AVE STE 7-8",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202244",
"telephone_number": "541-269-1317",
"fax_number": "541-269-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASPER",
"first_name": "THERESA",
"middle_name": "C",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "D7841",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.