Shady Cove Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10-00527.0 Issued in OR

Legal business name

SHADY COVE FAMILY DENTISTRY

Practice address

21300 Hwy 62
Shady Cove, OR 97539-9717

Phone

(541) 878-2115

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luke B Murphy, DMDNPI 1801912183

Title

Owner

Phone

(541) 878-2115

Specialties & licenses 1

Addresses

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.

• Luke B Murphy, DMD

  • Dentist
  • Shady Cove, OR
  • NPI 1801912183
  NPD (past) Authorized official
• Casey Dean Clingan, DMD

  • General Practice Dentistry
  • Shady Cove, OR
  • NPI 1750861431
  NPD (past)
• Taylor Austin Ellson, DMD

  • General Practice Dentistry
  • Shady Cove, OR
  • NPI 1164038030
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1376819656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "address_2": "21300 HIGHWAY 62",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975391150",
            "telephone_number": "541-878-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 HWY 62",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975399717",
            "telephone_number": "541-878-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY COVE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-878-2115",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "10-00527.0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Stuart Price, MA, LPC
• Kelsey Reed, RDH
• Rogue Community Health
• Shady Cove Chiropractic and Massage, LLC
• Shady Cove Chiropractic, LLC
• Sisters of Providence in Oregon (PMG South Shady Cove)
• Shane Smedley, QMHA-R, CRM, PSS-AD
• Ann Marie Sprague, DPT
• Sarah Joyce Spriggs, LMT, BCTMB
• David Lee Thompson, PTA

• General Practice Dentistry in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.