Crisdental Newberg LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRISDENTAL NEWBERG LLC

Practice address

710 Foothills Dr
Newberg, OR 97132-6124

Phone

(541) 672-2747

Fax

(866) 216-6527

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

CRISDENTAL GROUP PCAs reported in NPPES

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

Authorized official

Name

Dr. Michael J Bratland, DMDNPI 1235128745

Title

Owner

Phone

(541) 672-2747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Jacob Bratland, DMD

  • General Practice Dentistry
  • Roseburg, OR
  • NPI 1235128745
  Authorized official Same address or phone

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1285024885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700012",
            "telephone_number": "541-672-2747",
            "fax_number": "866-216-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FOOTHILLS DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326124",
            "telephone_number": "541-672-2747",
            "fax_number": "866-216-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISDENTAL NEWBERG LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRISDENTAL GROUP PC",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "BRATLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-672-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Cordner
• Darlene Corral, LCSW, LICSW
• Bridget Louann Corsetti, PT
• Juan Manuel Cortes
• Douglas M Cossel, RPH
• Courtney Crouse
• Thomas Joseph Croy, MD
• Ronald Eugene Culver, MD
• John L Cummings, M.D.
• Andrew P Dagostino

• General Practice Dentistry in Newberg, OR
• Providers in Newberg, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.