Douglas Brian Retzlaff, DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6338 Issued in OR

Practice address

1104 Molalla Ave
Oregon City, OR 97045-3740

Phone

(503) 656-7131

Fax

(503) 656-6382

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033227731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453740",
            "telephone_number": "503-656-7131",
            "fax_number": "503-656-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453740",
            "telephone_number": "503-656-7131",
            "fax_number": "503-656-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZLAFF",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "credential": "DMD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resiliency Therapeutics
• James Matthew Resk, M.D.
• Hayden Resnick, OTD OTR/L
• Marla Sue Resnick, M.S.
• Renata Retter, DC
• Revolution Dental Implant Center
• Hannah Cross Rhinehart, CNM
• Elizabeth Dawn Rhoades, LMT
• Meghan M. Rich, MA, LPCC, NCC
• Amber Richards, CRM II, PWS, THW

• General Practice Dentistry in Oregon City, OR
• Providers in Oregon City, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.