South Salem Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D8869 Issued in OR

Legal business name

SOUTH SALEM ORTHODONTICS LLC

Practice address

1790 Liberty St SE
Salem, OR 97302-5159

Phone

(503) 588-2404

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bart L Carter, DMD,MSNPI 1396138657

Title

Member

Phone

(503) 588-2404

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bart Carter, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
  • NPI 1396138657

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• Ross George Kaplan, BDS,MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
  • NPI 1063404549

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1457548943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025159",
            "telephone_number": "503-588-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025159",
            "telephone_number": "503-588-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SALEM ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-588-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D8869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Pain Alliance
• South Falls Counseling LLC
• South Salem Apothecary LLC
• South Salem Apothecary, LLC
• South Salem Immediate Care Inc.
• South Salem Rehabilitation, Inc.
• South Salem Rehabilitation, LLC
• South Sound Inpatient Physicians PLLC
• Kyler Hart Southcott
• Southern Hills Assisted Living Community, LLC

• All providers in Salem, OR
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.