Northwest Dental Arts PC

Primary specialty

DentistTaxonomy code 122300000X

License

D8728 Issued in OR

Legal business name

NORTHWEST DENTAL ARTS PC

Practice address

4734 River Rd N
Keizer, OR 97303-4536

Phone

(503) 463-4663

NPI assigned

Jan 6, 2012

Last updated

Apr 5, 2012By 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

Shelly Renee Sutter

Title

Office Manager

Phone

(503) 463-4663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1508136581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034536",
            "telephone_number": "503-463-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034536",
            "telephone_number": "503-463-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-463-4663"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Nichol
• Justin Scott Nielsen, CADCII
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• Northwest Center for Evidence-Based Psychotherapy LLC
• Northwest Counseling and Wellness LLC
• Northwest Sleep Therapy
• Anne A Nunes, D.O.
• NW Medical Weight Management LLC
• Josephine Eva Obaseki, DDS
• Thalia Y Ohara, DDS

• Dentist in Keizer, OR
• Providers in Keizer, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.