NPIMap

Organization Active NPI

North Coast Dental Clinic, PC

  • General Practice Dentistry
  • Warrenton, OR
National Provider Identifier
1154415834
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5837 Issued in OR
Legal business name
NORTH COAST DENTAL CLINIC, PC
Practice address
1085 E Harbor Dr
Warrenton, OR 97146-0357
Phone
(503) 861-3707
Fax
(503) 861-0568
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Jon D Bletscher, DMDNPI 1518111632
Title
Officer
Phone
(503) 861-3707

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5837 OR Primary

Addresses

Primary practice location

1085 E Harbor Dr
Warrenton, OR 97146-0357

Mailing address

PO Box 357
Warrenton, OR 97146-0357
Phone (503) 861-3707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1154415834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971460357",
            "telephone_number": "503-861-3707",
            "fax_number": "503-861-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 E HARBOR DR",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971460357",
            "telephone_number": "503-861-3707",
            "fax_number": "503-861-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "BLETSCHER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "503-861-3707",
        "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": "D5837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.