Woodburn Community Dental

Primary specialty

DentistTaxonomy code 122300000X

License

5827 Issued in OR

Legal business name

WOODBURN COMMUNITY DENTAL

Practice address

790 Lawson Ave
Woodburn, OR 97071-2988

Phone

(503) 982-1188

Fax

(503) 982-5524

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark K Rodman, DMD

Title

Owner

Phone

(503) 982-1188

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.

• Kaveendra Thushara Ranasinghe, D.M.D.

  • General Practice Dentistry
  • Woodburn, OR
  • NPI 1063897650
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1386968568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LAWSON AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712988",
            "telephone_number": "503-982-1188",
            "fax_number": "503-982-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LAWSON AVE",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712988",
            "telephone_number": "503-982-1188",
            "fax_number": "503-982-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURN COMMUNITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-982-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casidy Winters Merten
• Michelle K Witt
• WMC Operating Company, LLC
• McKenna Wonderling
• Woodburn Ambulance Service, Inc.
• Woodburn Cosmetic & Family Dentistry P.C.
• Woodburn Dental Group, P.C.
• Woodburn Eye Center, LLC
• Woodburn Health Center Pharmacy
• Woodburn Modern Dental LLC

• Dentist in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.