Todd J Oyama, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D9425 Issued in OR

Practice address

1100 Southgate Ste 17
Pendleton, OR 97801-3971

Phone

(541) 276-1561

Fax

(541) 276-5743

NPI assigned

Aug 11, 2009

Last updated

Nov 17, 2015By the provider in NPPES

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

Other identifiers 1

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.

• Medical Center Dental Office, LLC

  • Dental Clinic/Center
  • Pendleton, OR
  • NPI 1649584400
  NPD (past)
• Medical Center Dental, LLC

  • General Practice Dentistry
  • Pendleton, OR
  • NPI 1285903047
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1306078241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE STE 17",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013971",
            "telephone_number": "541-276-1561",
            "fax_number": "541-276-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE STE 17",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013971",
            "telephone_number": "541-276-1561",
            "fax_number": "541-276-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYAMA",
        "first_name": "TODD",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID D9425",
            "identifier": "D9425",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Department of Corrections
• Oregon Open MRI (Rendleton Open MRI LLC)
• Oregon Washington Health Network (COPES Clinic)
• Osoa Therapy
• Jessamy J Otteson
• Ashlee E.J. Palacios
• Rachael Pallis, RN
• Valentin Palomares, CRM
• Jessica Denice Pankey, CRM
• Marlene Parsons

• Dentist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.