Organization Active NPI

Wyatt & Casebeer Dental LLC

Doing business as Sunnyside Dentistry

  • Dental Clinic/Center
  • Clackamas, OR
National Provider Identifier
1235015280
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WYATT & CASEBEER DENTAL LLC
Doing business as
Sunnyside Dentistry
Practice address
14210 SE Sunnyside Rd Ste 200
Clackamas, OR 97015-5242
Phone
(503) 541-5104
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Chad J Casebeer, DMDNPI 1194404954
Title
Partner Dentist
Phone
(503) 798-8851

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14210 SE Sunnyside Rd Ste 200
Clackamas, OR 97015-5242

Mailing address

14210 SE Sunnyside Rd Ste 200
Clackamas, OR 97015-5242
Phone (503) 541-5104

Other names 1

  • SUNNYSIDE DENTISTRY 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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1235015280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD STE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155242",
            "telephone_number": "503-541-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD STE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155242",
            "telephone_number": "503-541-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT & CASEBEER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "CASEBEER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "503-798-8851",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNNYSIDE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.