Seaside Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8333 Issued in OR

Legal business name

SEASIDE DENTAL CLINIC

Practice address

729 S Holladay Drive
Seaside, OR 97138

Phone

(503) 738-6520

Fax

(503) 738-6556

NPI assigned

Mar 5, 2015

Last updated

Mar 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryce O. Evans, DMDNPI 1477545424

Title

Dentist/Owner

Phone

(503) 738-6520

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, and the practitioner matching its NPPES authorized official.

• Bryce Orrick Evans, DMD

  • General Practice Dentistry
  • Seaside, OR
  • NPI 1477545424
  NPD (past) Authorized official
• Allisa Tanzer Evans, N.D.

  • Naturopath
  • Seaside, OR
  • NPI 1801011101
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1487047197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 S HOLLADAY DRIVE",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "97138",
            "telephone_number": "503-738-6520",
            "fax_number": "503-738-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 S HOLLADAY DRIVE",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "97138",
            "telephone_number": "503-738-6520",
            "fax_number": "503-738-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "503-738-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Franklin Schwenk, P.T.
• Scott N Santos DDS PC
• Jada Scott
• Mark Scurrah, MD
• Seaside Chiropractic Clinic P C
• Seaside Precision Vision
• Seaside Senior Living LLC (NECANICUM VILLAGE Assisted Living & Memory Care Community)
• Seaside Urgent Care
• Seaside Wellness Center LLC
• Lori Sue Shellman, APRN

• General Practice Dentistry in Seaside, OR
• Providers in Seaside, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.