Kevin E Osborne, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7346 Issued in OR

Practice address

150 Market St
Lebanon, OR 97355-2334

Phone

(541) 451-4300

Fax

(541) 451-4799

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santiam Dental Group, LLC

  dba Osborne Dentistry Registry #1356504-97

  • General Practice Dentistry
  • Lebanon, OR
  • NPI 1003898073
  NPD (past) Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1295922250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MARKET ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552334",
            "telephone_number": "541-451-4300",
            "fax_number": "541-451-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MARKET ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973552334",
            "telephone_number": "541-451-4300",
            "fax_number": "541-451-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moussa Omidvar
• Alma Ordaz
• Oregon Hearing Health Service, LLC
• Oregon Sonography LLC
• Kenneth L. Orwick, M.D.
• Orin Levi Osborne, DMD
• Q Leslie Osborne, DMD
• Wyatt Edward Osborne
• Shelly Rae Ottre, LPC
• Andrew Robert Owenreay, DO

• General Practice Dentistry in Lebanon, OR
• Providers in Lebanon, 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 Oct 3, 2007; 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.