Organization Active NPI

John C Schilt DDS PC

  • General Practice Dentistry
  • Springfield, OR
National Provider Identifier
1073286183
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN C SCHILT DDS PC
Practice address
244 N 6TH St
Springfield, OR 97477-4602
Phone
(541) 736-0044
Fax
(541) 654-4552
NPI assigned
Jul 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
John C Schilt, DDS
Title
President
Phone
(541) 736-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

244 N 6TH St
Springfield, OR 97477-4602

Mailing address

244 N 6TH St
Springfield, OR 97477-4602
Phone (541) 736-0044

Other names 1

  • McKenzie River Dental Doing business as

National Provider Directory

National Provider Directory

Locations

244 N 6th St
Springfield, OR 97477
Phone (541) 736-0044

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1073286183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N 6TH ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774602",
            "telephone_number": "541-736-0044",
            "fax_number": "541-654-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N 6TH ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774602",
            "telephone_number": "541-736-0044",
            "fax_number": "541-654-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C SCHILT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "SCHILT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-736-0044",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.