Katrina J Drew, DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KATRINA J DREW, DDS, PC

Practice address

748 Goodpasture Island Road
Eugene, OR 97401

Phone

(541) 686-2446

Fax

(541) 686-3055

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Katrina J Drew, DDSNPI 1427271923

Title

President

Phone

(541) 686-2446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Dental Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina J. Drew, D.D.S.

  • Pediatric Dentistry
  • Eugene, OR
  • NPI 1427271923
  NPD Authorized official
• Michael J Purcell, DDS

  • Pediatric Dentistry
  • Eugene, OR
  • NPI 1427154418
  NPD

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1013567080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 GOODPASTURE ISLAND ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-686-2446",
            "fax_number": "541-686-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 GOODPASTURE ISLAND ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-686-2446",
            "fax_number": "541-686-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA J DREW, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-686-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150577",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasia Van Pett, MD, PC
• Robert Kasik, RN
• James M Kassube, MD
• Ashley Kaszynski, LMT
• Katie L Kinports DC PC
• Jamie Katzenstein, M.S.
• Cindy Corsin Kaufman, PMHNP
• Evan Kaufman
• Michael Kaufman, MFT
• Sarah Kaufman, MS

• Pediatric Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.