NPIMap

Organization Active NPI

Lassen Dental LLC

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1285197830
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LASSEN DENTAL LLC
Practice address
4120 Quest Dr
Eugene, OR 97402-8768
Phone
(541) 688-7278
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Steffen Niels Lassen, DDSNPI 1750811485
Title
Dentist/Sole Member
Phone
(208) 419-6156

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4120 Quest Dr
Eugene, OR 97402-8768

Mailing address

4120 Quest Dr
Eugene, OR 97402-8768
Phone (541) 688-7278

Other identifiers 6

IdentifierTypeStateIssuer
1965981OtherORCIGNA
3771529OtherORPACIFIC SOURCE
500757214MedicaidOR
004179098OtherORUNITED CONCORDIA
P00001209592OtherORODS
1750811485OtherORREGENCE

National Provider Directory

National Provider Directory

Locations

4120 Quest Dr
Eugene, OR 97402
Phone (541) 688-5972

Practitioners & affiliated clinicians

Practitioners 7

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": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1285197830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 QUEST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028768",
            "telephone_number": "541-688-7278",
            "fax_number": "541-334-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 QUEST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028768",
            "telephone_number": "541-688-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "LASSEN",
        "authorized_official_first_name": "STEFFEN",
        "authorized_official_middle_name": "NIELS",
        "authorized_official_title_or_position": "DENTIST/SOLE MEMBER",
        "authorized_official_telephone_number": "208-419-6156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1965981",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "3771529",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500757214",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "004179098",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODS",
            "identifier": "P00001209592",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1750811485",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.