NPIMap

Organization Active NPI

Michelle Hasbrook DMD PC

  • General Practice Dentistry
  • Monmouth, OR
National Provider Identifier
1174617138
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7097 Issued in OR
Legal business name
MICHELLE HASBROOK DMD PC
Practice address
120 Atwater St N
Monmouth, OR 97361-1801
Phone
(503) 838-2998
Fax
(503) 838-9993
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Hayden
Title
Office Manager
Phone
(503) 838-2998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7097 OR Primary

Addresses

Primary practice location

120 Atwater St N
Monmouth, OR 97361-1801

Mailing address

120 Atwater St N
Monmouth, OR 97361-1801
Phone (503) 838-2998

National Provider Directory

National Provider Directory

Locations

120 Atwater St N
Monmouth, OR 97361
Phone (503) 838-2988

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": "1598054400000",
    "number": "1174617138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ATWATER ST N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611801",
            "telephone_number": "503-838-2998",
            "fax_number": "503-838-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ATWATER ST N",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611801",
            "telephone_number": "503-838-2998",
            "fax_number": "503-838-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HASBROOK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-838-2998"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.