NPIMap

Organization Active NPI

Southern Oregon Dental L.L.C.

  • General Practice Dentistry
  • Grants Pass, OR
National Provider Identifier
1023032778
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTHERN OREGON DENTAL L.L.C.
Practice address
540 Union Ave
Grants Pass, OR 97527-5544
Phone
(541) 476-7781
Fax
(541) 471-9366
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Daniel R Arrigotti, D.M.D.NPI 1104043272
Title
Member Dentist
Phone
(541) 476-7781

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

540 Union Ave
Grants Pass, OR 97527-5544

Mailing address

540 Union Ave
Grants Pass, OR 97527-5544
Phone (541) 476-7781

Other identifiers 1

IdentifierTypeStateIssuer
182634MedicaidOR

National Provider Directory

National Provider Directory

Locations

540 Union Ave
Grants Pass, OR 97527
Phone (541) 476-7781

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1023032778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-476-7781",
            "fax_number": "541-471-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-476-7781",
            "fax_number": "541-471-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON DENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "ARRIGOTTI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER DENTIST",
        "authorized_official_telephone_number": "541-476-7781",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182634",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.