NPIMap

Organization Active NPI

Lance Don Bailey

  • General Practice Dentistry
  • Clackamas, OR
National Provider Identifier
1376800508
Registry record updated Apr 12, 2012
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8578 Issued in OR
Legal business name
LANCE DON BAILEY
Doing business as
Downtown Dental Care
Practice address
10001 SE Sunnyside Rd Ste 250
Clackamas, OR 97015-9748
Phone
(503) 786-3000
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Lance Don Bailey, DDS
Title
President
Phone
(503) 786-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8578 OR Primary

Addresses

Primary practice location

10001 SE Sunnyside Rd Ste 250
Clackamas, OR 97015-9748

Mailing address

10001 SE Sunnyside Rd Ste 250
Clackamas, OR 97015-9748
Phone (503) 786-3000

Other names 1

  • Downtown Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1376800508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD STE 250",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159748",
            "telephone_number": "503-786-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 SE SUNNYSIDE RD STE 250",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159748",
            "telephone_number": "503-786-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE DON BAILEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-786-3000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.