NPIMap

Organization Active NPI

Eugene Endodotics LLC

  • Endodontics
  • Eugene, OR
National Provider Identifier
1427200138
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8541 Issued in OR
Legal business name
EUGENE ENDODOTICS LLC
Practice address
2233 Willamette St Ste E
Eugene, OR 97405-2890
Phone
(541) 484-9018
Fax
(541) 345-8037
NPI assigned
Oct 14, 2008
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
David Earl Wilson, DDSNPI 1124231261
Title
Owner
Phone
(541) 484-9018

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8541 OR Primary

Addresses

Primary practice location

2233 Willamette St Ste E
Eugene, OR 97405-2890

Mailing address

2233 Willamette St.
Suite E
Eugene, OR 97405-2890
Phone (541) 484-9018

National Provider Directory

National Provider Directory

Locations

2233 Willamette St
Ste E
Eugene, OR 97405
Phone (541) 484-9018

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1427200138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST.",
            "address_2": "SUITE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-484-9018",
            "fax_number": "541-345-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST STE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-484-9018",
            "fax_number": "541-345-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE ENDODOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-484-9018",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "8541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 2008; 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.