NPIMap

Organization Active NPI

Oregon Endodontic Group

  • Endodontics
  • Lake Oswego, OR
National Provider Identifier
1366793192
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
OREGON ENDODONTIC GROUP
Practice address
320 A Ave
Lake Oswego, OR 97034-3056
Phone
(503) 636-3383
Fax
(503) 635-8632
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Leila TarsaNPI 1356499586
Title
Owner
Phone
(503) 636-3383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

320 A Ave
Lake Oswego, OR 97034-3056

Mailing address

320 A Ave
Lake Oswego, OR 97034-3056
Phone (503) 636-3383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1366793192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 A AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343056",
            "telephone_number": "503-636-3383",
            "fax_number": "503-635-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 A AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343056",
            "telephone_number": "503-636-3383",
            "fax_number": "503-635-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ENDODONTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "TARSA",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-636-3383"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.