Organization Active NPI

Mutschler & Mutschler Dental LLC

  • Pediatric Dentistry
  • Oregon City, OR
National Provider Identifier
1326727744
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MUTSCHLER & MUTSCHLER DENTAL LLC
Practice address
911 Main St Ste 140
Oregon City, OR 97045-1868
Phone
(503) 656-0631
Fax
(503) 557-8113
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Dr. Mark Mutschler, D.D.S.NPI 1467455360
Title
Owner
Phone
(503) 656-0631

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

911 Main St Ste 140
Oregon City, OR 97045-1868

Mailing address

911 Main St Ste 140
Oregon City, OR 97045-1868
Phone (503) 656-0631

Other practice location 1

13908 SE Stark St Ste C
Portland, OR 97233-2161
Phone (503) 254-5535

National Provider Directory

National Provider Directory

Locations

911 Main St
Ste 140
Oregon City, OR 97045
Phone (503) 656-0631

13908 SE Stark St
Ste C
Portland, OR 97233
Phone (503) 254-5535

Practitioners & affiliated clinicians

Practitioners 2

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": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1326727744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST STE 140",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451868",
            "telephone_number": "503-656-0631",
            "fax_number": "503-557-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MAIN ST STE 140",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451868",
            "telephone_number": "503-656-0631",
            "fax_number": "503-557-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13908 SE Stark St Ste C",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972332161",
            "country_code": "US",
            "telephone_number": "503-254-5535",
            "fax_number": "503-256-5226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUTSCHLER & MUTSCHLER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "MUTSCHLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-656-0631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.