NPIMap

Organization Active NPI

Dentalcare LLC

  • Dental Clinic/Center
  • Tillamook, OR
National Provider Identifier
1316544935
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTALCARE LLC
Practice address
805 Ivy Ave Ste B
Tillamook, OR 97141-3758
Phone
(503) 842-7788
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Cyrus Javadi, DDSNPI 1811159759
Title
Sole Member
Phone
(503) 801-5363

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

805 Ivy Ave Ste B
Tillamook, OR 97141-3758

Mailing address

1010 Main Ave
Tillamook, OR 97141-3818
Phone (503) 842-7788

National Provider Directory

National Provider Directory

Locations

1010 Main Ave
Tillamook, OR 97141
Phone (503) 673-2676

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1316544935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413818",
            "telephone_number": "503-842-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 IVY AVE STE B",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413758",
            "telephone_number": "503-842-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "JAVADI",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-801-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.