NPIMap

Organization Active NPI

Capitol Dental Care, Inc.

  • Dental Clinic/Center
  • Salem, OR
National Provider Identifier
1023286580
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CAPITOL DENTAL CARE, INC.
Practice address
3000 Market St NE
Suite 228
Salem, OR 97301-1882
Phone
(503) 585-5205
Fax
(503) 581-0043
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Mr. William Hart Laws
Title
President
Phone
(503) 585-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3000 Market St NE
Suite 228
Salem, OR 97301-1882

Mailing address

3000 Market St NE
Suite 228
Salem, OR 97301-1882
Phone (503) 585-5205

Other identifiers 1

IdentifierTypeStateIssuer
122627MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1023286580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "address_2": "SUITE 228",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "503-585-5205",
            "fax_number": "503-581-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "address_2": "SUITE 228",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "503-585-5205",
            "fax_number": "503-581-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-585-5205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122627",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2008; 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.