NPIMap

Organization Active NPI

Preventive Dental LLC

  • Dental Hygienist
  • Corvallis, OR
National Provider Identifier
1447553409
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H3040 Issued in OR
Legal business name
PREVENTIVE DENTAL LLC
Practice address
1610 NW Menlo Dr
Corvallis, OR 97330-2055
Phone
(541) 231-3212
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Zina Burt, RDH, LAPNPI 1427191097
Title
Dental Hygienist
Phone
(541) 231-3212

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
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X H3040 OR Primary

Addresses

Primary practice location

1610 NW Menlo Dr
Corvallis, OR 97330-2055

Mailing address

1610 NW Menlo Dr
Corvallis, OR 97330-2055
Phone (541) 231-3212

National Provider Directory

National Provider Directory

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": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1447553409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 NW MENLO DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302055",
            "telephone_number": "541-231-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 NW MENLO DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302055",
            "telephone_number": "541-231-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "ZINA",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "541-231-3212",
        "authorized_official_credential": "RDH, LAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H3040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.