South Eugene Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6702 Issued in OR

Legal business name

SOUTH EUGENE DENTAL

Practice address

280 W 11TH Ave
Eugene, OR 97401-3031

Phone

(541) 342-6160

Fax

(541) 342-2723

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carey Edward Cooney, DMDNPI 1710291810

Title

Owner

Phone

(541) 342-6160

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carey Edward Cooney, D.M.D.

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1710291810
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1497841936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013031",
            "telephone_number": "541-342-6160",
            "fax_number": "541-342-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013031",
            "telephone_number": "541-342-6160",
            "fax_number": "541-342-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EUGENE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-342-6160",
        "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": "D6702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gil Sosnik
• Soterion, LLC
• Jose Ernesto Soto-Gates Jr.
• Andrea Soto, MSW
• Ericka Lee Souders, PH.D., L.P.C.
• South Eugene Surgi-Center, LLC
• South Hills PT Clinic
• South Valley Therapy, LLC
• Joshua Travis South I
• Southside Psychology Services PC

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, 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 Jun 2, 2009; 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.