NPIMap

Organization Active NPI

Mountain View Oral Surgery and Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • McMinnville, OR
National Provider Identifier
1366756389
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D5964 Issued in OR
Legal business name
MOUNTAIN VIEW ORAL SURGERY AND DENTAL IMPLANTS
Practice address
1046 NE 3Rd St
McMinnville, OR 97128-4418
Phone
(503) 472-1468
Fax
(503) 434-9214
NPI assigned
Aug 2, 2010
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Dr. Marvin J Johnson, DMDNPI 1225046881
Title
Oral Surgeon / Owner
Phone
(503) 472-1468

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D9272 OR
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D5964 OR Primary

Addresses

Primary practice location

1046 NE 3Rd St
McMinnville, OR 97128-4418

Mailing address

1046 NE 3Rd St
McMinnville, OR 97128-4418
Phone (503) 472-1468

National Provider Directory

National Provider Directory

Locations

1046 NE 3rd St
McMinnville, OR 97128
Phone (503) 472-1468

Practitioners & affiliated clinicians

Practitioners 3

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": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1366756389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284418",
            "telephone_number": "503-472-1468",
            "fax_number": "503-434-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 NE 3RD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284418",
            "telephone_number": "503-472-1468",
            "fax_number": "503-434-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW ORAL SURGERY AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORAL SURGEON / OWNER",
        "authorized_official_telephone_number": "503-472-1468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D9272",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.