Organization Active NPI

Neighborhood Dentistry

  • Dental Clinic/Center
  • Salem, OR
National Provider Identifier
1154768562
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8945 Issued in OR
Legal business name
NEIGHBORHOOD DENTISTRY
Practice address
1109 Liberty Cir S
Salem, OR 97306-2435
Phone
(503) 363-8466
Fax
(503) 485-2986
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Bruce Sellers, DMD
Title
President
Phone
(503) 363-8466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8945 OR Primary

Addresses

Primary practice location

1109 Liberty Cir S
Salem, OR 97306-2435

Mailing address

1109 Liberty Cir S
Salem, OR 97306-2435
Phone (503) 363-8466

Other identifiers 1

IdentifierTypeStateIssuer
006311MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1154768562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LIBERTY CIR S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062435",
            "telephone_number": "503-363-8466",
            "fax_number": "503-485-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 LIBERTY CIR S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062435",
            "telephone_number": "503-363-8466",
            "fax_number": "503-485-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-363-8466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006311",
            "state": "OR"
        }
    ],
    "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 May 24, 2013; 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.