Organization Active NPI

Healthy Smiles

  • Dentist
  • Albany, OR
National Provider Identifier
1265054175
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEALTHY SMILES
Practice address
2220 9TH Ave SE Ste B
Albany, OR 97322-5000
Phone
(541) 238-2212
NPI assigned
May 13, 2020
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Becki Rose
Title
Office Administrator
Phone
(541) 418-4311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

2220 9TH Ave SE Ste B
Albany, OR 97322-5000

Mailing address

PO Box 1541
Roseburg, OR 97470-0360
Phone (541) 492-1687

Other names 1

  • Members Plus dental Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Albany

National Provider Directory

National Provider Directory

Locations

2220 9th Ave SE
Ste B
Albany, OR 97322
Phone (541) 238-2212

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1265054175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700360",
            "telephone_number": "541-492-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 9TH AVE SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225000",
            "telephone_number": "541-238-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "BECKI",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-418-4311"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Albany",
            "affiliation": "N",
            "address_1": "2220 9th Ave SE Ste B",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973225000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Members Plus dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.