Michael B Desjardin Dentisty, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6163 Issued in OR

Legal business name

MICHAEL B DESJARDIN DENTISTY, P.C.

Practice address

208 NW Canton St
John Day, OR 97845-1145

Phone

(541) 575-2725

Fax

(541) 575-2635

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 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

Dr. Michael B Desjardin, D.M.D.NPI 1720203227

Title

President

Phone

(541) 575-2725

Specialties & licenses 1

Addresses

Locations

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.

• Michael B Desjardin, D.M.D.

  • General Practice Dentistry
  • John Day, OR
  • NPI 1720203227
  NPD (past) Authorized official

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1376889311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NW CANTON ST",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978451145",
            "telephone_number": "541-575-2725",
            "fax_number": "541-575-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NW CANTON ST",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978451145",
            "telephone_number": "541-575-2725",
            "fax_number": "541-575-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B DESJARDIN DENTISTY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "DESJARDIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-575-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Maldonado
• Kaona R Martell, PT
• Dawn Marten, CNM
• Stephen Robert McGuire
• Virginia L McMillian, DDS
• Jacki Lynn Miller, MA
• Benjamin Alan Moore, O.D.
• My Hearing Centers, LLC
• Nelsons City Drug Inc (Len's Pharmacy)
• Nicole Nira

• General Practice Dentistry in John Day, OR
• Providers in John Day, 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 Dec 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.