NPIMap

Organization Active NPI

Capitol Dental Group

  • Dental Clinic/Center
  • Salem, OR
National Provider Identifier
1255889333
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
H7259 Issued in OR
Legal business name
CAPITOL DENTAL GROUP
Practice address
3000 Market St NE
Suite 228
Salem, OR 97301-1882
Phone
(503) 587-7162
Fax
(503) 581-0043
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Staci Comer
Title
Dental Program Director
Phone
(971) 205-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X H7259 OR Primary

Addresses

Primary practice location

3000 Market St NE
Suite 228
Salem, OR 97301-1882

Mailing address

3000 Market St NE
Suite 228
Salem, OR 97301-1882
Phone (503) 587-7162

National Provider Directory

National Provider Directory
Tax ID family
Capitol Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3000 Market St NE
Ste 228
Salem, OR 97301
Phone (503) 585-5205

Practitioners & affiliated clinicians

Practitioners 9

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1255889333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "address_2": "SUITE 228",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "503-587-7162",
            "fax_number": "503-581-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "address_2": "SUITE 228",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "503-587-7162",
            "fax_number": "503-581-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "DENTAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "971-205-7475"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "H7259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.