NPIMap

Organization Active NPI

Lane Community College

  • Dental Clinic/Center
  • Eugene, OR
National Provider Identifier
1457764920
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
H2305 Issued in OR
Legal business name
LANE COMMUNITY COLLEGE
Practice address
4000 E 30TH Ave
Eugene, OR 97405-0640
Phone
(541) 463-3000
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Sharon Hagan, RDH
Title
Director
Phone
(541) 228-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X H2305 OR Primary

Addresses

Primary practice location

4000 E 30TH Ave
Eugene, OR 97405-0640

Mailing address

PO Box 2847
Eugene, OR 97402-0327
Phone (541) 817-2901

National Provider Directory

National Provider Directory
Tax ID family
Lane Community College2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 E 30th Ave
Eugene, OR 97405
Phone (541) 463-3000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1457764920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020327",
            "telephone_number": "541-817-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E 30TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050640",
            "telephone_number": "541-463-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-228-4013",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "H2305",
            "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 Jun 3, 2014; 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.