Salem Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10036 Issued in OR

Legal business name

SALEM DENTAL LLC

Practice address

2510 12TH St SE
Salem, OR 97302-2167

Phone

(503) 378-1212

NPI assigned

Oct 6, 2016

Organization subpart

Yes

Parent organization

NORTHWEST DENTAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Bryant Zollinger, DDS

Title

Owner

Phone

(503) 648-6671

Specialties & licenses 1

Addresses

Part of

Northwest Dental Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Dental Group, LLC

  • Dentist
  • Hillsboro, OR
  • NPI 1093194052
  NPPES parent name

Practitioners 2

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

• Lloyd Emery Karst, D.D.S, P.C.

  • General Practice Dentistry
  • Salem, OR
  • NPI 1538214457
  NPD (past)
• Krista Kay Merrow, RDH

  • Dental Hygienist
  • Salem, OR
  • NPI 1205719127
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1023568631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SE 9TH AVE STE B",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234247",
            "telephone_number": "503-648-6671",
            "fax_number": "503-693-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022167",
            "telephone_number": "503-378-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST DENTAL GROUP LLC",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "ZOLLINGER",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-648-6671",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salem Clinic, PC
• Salem Clinic, PC
• Salem Community Acupuncture Project
• Salem Correctional Pharmacy
• Salem Counseling Place
• Salem Emergency Physicians Service, PC
• Salem Endodontic Associates
• Salem Endoscopy Center, LLC
• Salem Eye Clinic
• Salem Family Cosmetic Dentistry

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.