Organization Active NPI

Hunsaker Dental

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1104148816
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6671 Issued in OR
Legal business name
HUNSAKER DENTAL
Practice address
1595 Commercial St SE
Salem, OR 97302-4309
Phone
(503) 363-2536
Fax
(503) 363-4144
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Dr. Benjamin Larson Hunsaker, DMD
Title
Dentist/Owner
Phone
(503) 363-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6671 OR Primary

Addresses

Primary practice location

1595 Commercial St SE
Salem, OR 97302-4309

Mailing address

1595 Commercial St SE
Salem, OR 97302-4309
Phone (503) 363-2536

National Provider Directory

National Provider Directory
Tax ID family
Hunsaker Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1595 Commercial St SE
Salem, OR 97302
Phone (503) 363-2536

Practitioners & affiliated clinicians

Practitioners 3

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": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1104148816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024309",
            "telephone_number": "503-363-2536",
            "fax_number": "503-363-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024309",
            "telephone_number": "503-363-2536",
            "fax_number": "503-363-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNSAKER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "HUNSAKER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LARSON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-363-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.