Organization Active NPI

K. David Carneiro

  • Dental Clinic/Center
  • Astoria, OR
National Provider Identifier
1093009706
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7028 Issued in OR
Legal business name
K. DAVID CARNEIRO
Practice address
1775 Exchange St
Astoria, OR 97103-3508
Phone
(503) 325-3533
Fax
(503) 325-3609
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Sandra R Osterholme, EFDA
Title
Office Manager
Phone
(503) 325-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7028 OR Primary

Addresses

Primary practice location

1775 Exchange St
Astoria, OR 97103-3508

Mailing address

1775 Exchange St
Astoria, OR 97103-3508
Phone (503) 325-3533

National Provider Directory

National Provider Directory

Locations

1775 Exchange St
Astoria, OR 97103
Phone (503) 325-3533

Practitioners & affiliated clinicians

Practitioners 2

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": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1093009706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033508",
            "telephone_number": "503-325-3533",
            "fax_number": "503-325-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033508",
            "telephone_number": "503-325-3533",
            "fax_number": "503-325-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. DAVID CARNEIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "OSTERHOLME",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-325-3533",
        "authorized_official_credential": "EFDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "7028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.