Organization Active NPI

Elford McKim LLC

  • Dental Clinic/Center
  • Eugene, OR
National Provider Identifier
1063917979
Registry record updated Mar 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D7890 Issued in OR
Legal business name
ELFORD MCKIM LLC
Practice address
1045 Willagillespie Rd Ste 125
Eugene, OR 97401-6799
Phone
(541) 485-8717
Fax
(541) 485-2082
NPI assigned
Mar 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2018

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

Authorized official

Name
Anthony J Elford, DDS
Title
Dentist
Phone
(541) 485-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D7890 OR Primary

Addresses

Primary practice location

1045 Willagillespie Rd Ste 125
Eugene, OR 97401-6799

Mailing address

1045 Willagillespie Rd Ste 125
Eugene, OR 97401-6799
Phone (541) 485-8717

National Provider Directory

National Provider Directory

Locations

1045 Willagillespie Rd
Ste 125
Eugene, OR 97401
Phone (541) 485-8717

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": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521936000000",
    "number": "1063917979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD STE 125",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016799",
            "telephone_number": "541-485-8717",
            "fax_number": "541-485-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WILLAGILLESPIE RD STE 125",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016799",
            "telephone_number": "541-485-8717",
            "fax_number": "541-485-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELFORD MCKIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-03-25",
        "status": "A",
        "authorized_official_last_name": "ELFORD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-485-8717",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D7890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.