Active NPI
Albert Giddings II
- Denturist
- Brookings, OR
National Provider Identifier
1235559253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO-087719
- Practice address
- 800 Chetco Ave.
Brookings, OR 97415-0053 - Phone
- (541) 971-1828
- NPI assigned
- Apr 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO-087719 | OR | Primary |
Addresses
Primary practice location
800 Chetco Ave.
Brookings, OR 97415-0053
Mailing address
PO Box 1858
Brookings, OR 97415-0053
Phone (541) 971-1828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-DO-087719 | OR | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1235559253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1858",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150053",
"telephone_number": "541-971-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CHETCO AVE.",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150053",
"telephone_number": "541-971-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDDINGS",
"first_name": "ALBERT",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "OR",
"license": "DT-DO-087719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.