Oregon Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14897 Issued in OH

Legal business name

OREGON PEDIATRIC DENTISTRY

Practice address

3140 Dustin Rd
Oregon, OH 43616-4341

Phone

(419) 698-4339

Fax

(419) 698-3484

NPI assigned

Jul 9, 2013

Last updated

Jul 9, 2013By 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

Mr. Stephen R Branam, D.D.S.NPI 1770560492

Title

Pediatric Dentist

Phone

(419) 698-4339

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Stephen Richard Branam, D.D.S.

  • Pediatric Dentistry
  • Oregon, OH
  • NPI 1770560492
  Authorized official Same address or phone

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1497196232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 DUSTIN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164341",
            "telephone_number": "419-698-4339",
            "fax_number": "419-698-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DUSTIN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164341",
            "telephone_number": "419-698-4339",
            "fax_number": "419-698-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "BRANAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "419-698-4339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "14897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Health Investors Co. (Orchard Villa - Laboratory)
• Oregon Health Investors, Company (Orchard Villa)
• Oregon Healthcare LLC
• Oregon Hearing Center LLC
• Oregon Opco, LLC (Arbors at Oregon)
• Oregon Urgent Care
• Kathryn Yvonne Orlando
• Orthotic Prosthetic Center, Inc (OPC East)
• Pain Management Resources Inc
• Sudhakar Naidu Pangulur, M.D.

• Pediatric Dentistry in Oregon, OH
• Providers in Oregon, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.