NPIMap

Organization Active NPI

Broadway Family Dental Care LLC

  • General Practice Dentistry
  • Milton Freewater, OR
National Provider Identifier
1215001052
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4973 Issued in OR
Legal business name
BROADWAY FAMILY DENTAL CARE LLC
Doing business as
Norman D Saager
Practice address
508 E Broadway
Milton Freewater, OR 97862
Phone
(541) 938-3363
Fax
(541) 938-3912
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Norman Dean Saager, DMDNPI 1104948579
Title
Dentist
Phone
(541) 938-3363

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D4973 OR Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D8170 OR

Addresses

Primary practice location

508 E Broadway
Milton Freewater, OR 97862

Mailing address

508 E Broadway
Milton Freewater, OR 97862
Phone (541) 938-3363

Other names 1

  • Norman D Saager Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1215001052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E BROADWAY",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "97862",
            "telephone_number": "541-938-3363",
            "fax_number": "541-938-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E BROADWAY",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "97862",
            "telephone_number": "541-938-3363",
            "fax_number": "541-938-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "SAAGER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-938-3363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4973",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norman D Saager",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton Freewater, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.