Organization Active NPI

Acorn Dentistry for Kids - Woodburn, LLC

  • Pediatric Dentistry
  • Woodburn, OR
National Provider Identifier
1336008598
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ACORN DENTISTRY FOR KIDS - WOODBURN, LLC
Practice address
693 Ray Glatt Circle
Woodburn, OR 97071
Phone
(503) 874-4560
NPI assigned
Jan 21, 2026
Organization subpart
Yes
Parent organization
ACORN DENTISTRY FOR KIDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Matthew Slavenski
Title
Chief Operating Officer
Phone
(541) 990-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

693 Ray Glatt Circle
Woodburn, OR 97071

Mailing address

693 Ray Glatt Circle
Woodburn, OR 97071
Phone (503) 874-4560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1336008598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 RAY GLATT CIRCLE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "503-874-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 RAY GLATT CIRCLE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "503-874-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN DENTISTRY FOR KIDS - WOODBURN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACORN DENTISTRY FOR KIDS, LLC",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "SLAVENSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "541-990-5088"
    },
    "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 Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.