Bull Mountain Family Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D8974 Issued in OR

Legal business name

BULL MOUNTAIN FAMILY DENTISTRY, PC

Practice address

15885 SW 116TH Ave
King City, OR 97224-2647

Phone

(503) 901-7345

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nirvana Schuyler, DMDNPI 1497921092

Title

Dentist/President

Phone

(503) 901-7345

Specialties & licenses 1

Addresses

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.

• Nirvana Schuyler, DMD

  • General Practice Dentistry
  • Tigard, OR
  • NPI 1497921092
  NPD (past) Authorized official

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1285919555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15885 SW 116TH AVE",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242647",
            "telephone_number": "503-901-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15885 SW 116TH AVE",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242647",
            "telephone_number": "503-901-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULL MOUNTAIN FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "SCHUYLER",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "503-901-7345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Always at Homecare, Inc
• Bethany Anderson
• Richard Arries, BC-HIS
• Christina Bakker, CADC II, QMHA II
• Secia Beier, PHARMD
• C.a.P.E.S., LLC
• Care at Home Or LLC
• Peter A Charuhas
• John Roderick Chessar, DDS
• Loretta N. Claus, L.M.T

• Dental Clinic/Center in King City, OR
• Providers in King City, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.