NPIMap

Organization Active NPI

John F Lake DDS & Deborah Starr

  • General Practice Dentistry
  • Ontario, OR
National Provider Identifier
1487862009
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. John F Lake, DDSNPI 1619081031
Title
President
Phone
(541) 889-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

286 SW 4TH St
Ontario, OR 97914-2610

Mailing address

286 SW 4TH St
Ontario, OR 97914-2610
Phone (541) 889-7050

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

  • 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.