NPIMap

Organization Active NPI

Complete Dental Health LLC

  • General Practice Dentistry
  • Albany, OR
National Provider Identifier
1508192782
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6864 Issued in OR
Legal business name
COMPLETE DENTAL HEALTH LLC
Practice address
1123 Hill St SE Ste a
Albany, OR 97322-3292
Phone
(541) 928-6622
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Kendall Wood, DDSNPI 1518965326
Title
President
Phone
(541) 928-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9301 OR
General Practice Dentistry 1223G0001X 6864 OR Primary

Addresses

Primary practice location

1123 Hill St SE Ste a
Albany, OR 97322-3292

Mailing address

1123 Hill St SE Ste a
Albany, OR 97322-3292
Phone (541) 928-6622

National Provider Directory

National Provider Directory

Locations

1123 Hill St SE
Ste A
Albany, OR 97322
Phone (541) 928-6622

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1508192782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE A",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-928-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE A",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-928-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-928-6622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9301",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.