NPIMap

Organization Active NPI

John M Gallucci DMD PC

Doing business as Cascade Smiles

  • General Practice Dentistry
  • Oregon City, OR
National Provider Identifier
1194125351
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9304 Issued in OR
Legal business name
JOHN M GALLUCCI DMD PC
Doing business as
Cascade Smiles
Practice address
1017 Molalla Ave
Suite 1
Oregon City, OR 97045-3772
Phone
(503) 657-7770
Fax
(503) 657-9832
NPI assigned
Aug 25, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. John Matthew Gallucci, D.M.D.NPI 1437389913
Title
President
Phone
(503) 657-7770

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 D9304 OR Primary

Addresses

Primary practice location

1017 Molalla Ave
Suite 1
Oregon City, OR 97045-3772

Mailing address

1017 Molalla Ave
Suite 1
Oregon City, OR 97045-3772
Phone (503) 657-7770

Other names 1

  • Cascade Smiles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1194125351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE",
            "address_2": "SUITE 1",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453772",
            "telephone_number": "503-657-7770",
            "fax_number": "503-657-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 MOLALLA AVE",
            "address_2": "SUITE 1",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453772",
            "telephone_number": "503-657-7770",
            "fax_number": "503-657-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M GALLUCCI DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "GALLUCCI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-657-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.