Individual provider Active NPI

Theresa C Asper, D.D.S.

  • General Practice Dentistry
  • Coos Bay, OR
National Provider Identifier
1003994146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7841 Issued in OR
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D7841OtherORDENTIST

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

LicenseStateTypeSpecialty
D7841ORMDGeneral 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.

Verify at the official NPI Registry.