John F Lake DDS & Deborah Starr

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN F LAKE DDS & DEBORAH STARR

Practice address

286 SW 4TH St
Ontario, OR 97914-2610

Phone

(541) 889-7050

Fax

(541) 889-6495

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John F Lake, DDS

Title

President

Phone

(541) 889-7050

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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

• Deborah Starr Lake, DDS

  • General Practice Dentistry
  • Ontario, OR
  • NPI 1750495180
  NPD (past)
• Joshua Colt Sweeten, DDS

  • General Practice Dentistry
  • Ontario, OR
  • NPI 1780097634
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1487862009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 SW 4TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142610",
            "telephone_number": "541-889-7050",
            "fax_number": "541-889-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 SW 4TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142610",
            "telephone_number": "541-889-7050",
            "fax_number": "541-889-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F LAKE DDS & DEBORAH STARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-889-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226330",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805738900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805738800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226329",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey C Pitts
• Shelly Jenkins, MT-BC, FDN-P, LMT
• Tyler Jepson, P.T.
• John D Foote
• John David Hansill, M.D., PC
• Jennifer John, LCSW
• Braydon James Johnson
• Christy Gail Johnson, SLP
• Raquel Dee Johnson, CNM
• Brian Raymond Jones, D.M.D.

• General Practice Dentistry in Ontario, OR
• Providers in Ontario, 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 Jan 26, 2016; 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.