Crescent Orthodontic Services LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CRESCENT ORTHODONTIC SERVICES LLC

Practice address

979 Young St Ste C
Woodburn, OR 97071-4954

Phone

(503) 981-4095

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Hoopes, DDSNPI 1124636329

Title

Owner

Phone

(971) 444-5513

Specialties & licenses 1

Addresses

Other names 1

• Daniel Hoopes Doing business as

Locations

Practitioners 1

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

• Daniel Hoopes, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodburn, OR
  • NPI 1124636329
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1467061796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 YOUNG ST STE C",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970714954",
            "telephone_number": "971-444-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 YOUNG ST STE C",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970714954",
            "telephone_number": "503-981-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT ORTHODONTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "HOOPES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-444-5513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Hoopes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daniel Hoopes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie A Cooper, PT
• Nayelly De Jesus Cordero Sarabia
• Charmaine Cottrell
• William Carl Cox Jr., CADC I
• Tyler Coxen
• Jill M Crittenden
• Irene Croswell, RPH
• Crown Two Development, LLC
• Stephen Crum
• Pedro Cruz Vasquez

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.