Oregon Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

OREGON ENDODONTICS

Practice address

8815 Keys Place
Lincoln City, OR 97367

Phone

(541) 351-8069

Fax

(541) 418-4311

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Rebecca Adamson Rose

Title

Regional Manager

Phone

(971) 261-9539

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1154900249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973670127",
            "telephone_number": "541-351-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 KEYS PLACE",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "97367",
            "telephone_number": "541-351-8069",
            "fax_number": "541-418-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "ADAMSON ROSE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "971-261-9539"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235128745",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023810",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erling Johannes Oksenholt, D.O.
• Robert L. Oksenholt, D.O.
• Matthew Olsen, CCC-SLP
• Open Minds Counseling and Hypnotherapy
• Karl Douglas Ordelheide, MD
• Oregon Urology Clinic, P.C.
• Darell Dean Orton, M.D.
• Sharon Lynn Padilla
• Mary Ann G Palmer, AP60586141
• Paul S. Palmer, CRNA

• Endodontics in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Endodontics in Oregon

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