NPIMap

Organization Active NPI

Lakeview Dental Center, LLC

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1023349487
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5648 Issued in OR
Legal business name
LAKEVIEW DENTAL CENTER, LLC
Practice address
2601 25TH St SE
Suite 430
Salem, OR 97302-1279
Phone
(503) 370-8778
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Kent Scott Zerr, DMDNPI 1295727402
Title
Owner/Dentist
Phone
(503) 370-8778

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 D5648 OR Primary

Addresses

Primary practice location

2601 25TH St SE
Suite 430
Salem, OR 97302-1279

Mailing address

2601 25TH St SE
Suite 430
Salem, OR 97302-1279
Phone (503) 370-8778

National Provider Directory

National Provider Directory

Locations

2601 25th St SE
Ste 430
Salem, OR 97302
Phone (503) 370-8778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1023349487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 25TH ST SE",
            "address_2": "SUITE 430",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021279",
            "telephone_number": "503-370-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 25TH ST SE",
            "address_2": "SUITE 430",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021279",
            "telephone_number": "503-370-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ZERR",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-370-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5648",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 2010; 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.