Organization Active NPI

Gabrielle L Weishoff DMD LLC

Doing business as Mt. Angel Dental

  • Dental Clinic/Center
  • Mount Angel, OR
National Provider Identifier
1447904826
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GABRIELLE L WEISHOFF DMD LLC
Doing business as
Mt. Angel Dental
Practice address
310 E Charles St
Mount Angel, OR 97362-9657
Phone
(503) 845-2273
NPI assigned
Feb 4, 2022
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Gabrielle L Weishoff, DMD
Title
Managing Member
Phone
(503) 939-7993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

310 E Charles St
Mount Angel, OR 97362-9657

Mailing address

901 Dale CT
Molalla, OR 97038-8915
Phone (503) 939-7993

Other names 1

  • Mt. Angel Dental Doing business as

National Provider Directory

National Provider Directory

Locations

310 E Charles St
Mount Angel, OR 97362
Phone (503) 845-2273

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1447904826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DALE CT",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388915",
            "telephone_number": "503-939-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E CHARLES ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629657",
            "telephone_number": "503-845-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE L WEISHOFF DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "WEISHOFF",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-939-7993",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Angel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Angel, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.