Organization Active NPI

Dexter Creative Industries LLC

  • Durable Medical Equipment & Medical Supplies
  • Eugene, OR
National Provider Identifier
1407545122
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEXTER CREATIVE INDUSTRIES LLC
Practice address
2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393
Phone
(541) 844-1517
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Donald DexterNPI 1902965569
Title
Owner
Phone
(541) 844-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393

Mailing address

2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393
Phone (541) 844-1517

Other practice location 1

2911 Tennyson Ave Ste 203
Eugene, OR 97408-4393
Phone (541) 844-1517

Other names 1

  • Eugene Dental Sleep Center Doing business as

National Provider Directory

National Provider Directory

Locations

2911 Tennyson Ave
Ste 203
Eugene, OR 97408
Phone (541) 844-1517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1407545122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 203",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TENNYSON AVE STE 203",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974084393",
            "telephone_number": "541-844-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Tennyson Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974084393",
            "country_code": "US",
            "telephone_number": "541-844-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEXTER CREATIVE INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "DEXTER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-844-1517"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene Dental Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.