NPIMap

Organization Active NPI

Ross Mitchell DMD

Doing business as Corvallis Endodontics

  • Endodontics
  • Albany, OR
National Provider Identifier
1053959585
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ROSS MITCHELL DMD
Doing business as
Corvallis Endodontics
Practice address
1030 29TH Ave SW
Albany, OR 97321-3416
Phone
(541) 924-1190
Fax
(541) 812-0332
NPI assigned
Dec 16, 2019
Organization subpart
Yes
Parent organization
ROSS MITCHELL DMDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Dr. Ross Paton Mitchell, DMDNPI 1417149964
Title
Owner
Phone
(541) 924-1190

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1030 29TH Ave SW
Albany, OR 97321-3416

Mailing address

1030 29TH Ave SW
Albany, OR 97321-3416
Phone (541) 924-1190

Other names 1

  • Corvallis Endodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Ross Mitchell DMD

Locations

1030 29th Ave SW
Albany, OR 97321
Phone (541) 924-1190

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1053959585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213416",
            "telephone_number": "541-924-1190",
            "fax_number": "541-812-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213416",
            "telephone_number": "541-924-1190",
            "fax_number": "541-812-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS MITCHELL DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSS MITCHELL DMD",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "PATON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-924-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corvallis Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.