Organization Active NPI

Or Specialty Dental Services LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
National Provider Identifier
1508606302
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OR SPECIALTY DENTAL SERVICES LLC
Doing business as
Yenne & Schofield Orthodontics
Practice address
160 Ramsgate SQ S Ste 100
Salem, OR 97302-5876
Phone
(503) 362-0500
NPI assigned
May 29, 2024
Organization subpart
Yes
Parent organization
OR SPECIALTY DENTAL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Charlotte Dasch
Title
Director Cred & Prov Rel
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

160 Ramsgate SQ S Ste 100
Salem, OR 97302-5876

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759

Other names 1

  • Yenne & Schofield Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Or Specialty Dental Services LLC2 organizations share this tax ID, including this one
Part of
Or Specialty Dental Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 Ramsgate Sq S
Ste 100
Salem, OR 97302
Phone (503) 362-0500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1508606302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RAMSGATE SQ S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025876",
            "telephone_number": "503-362-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OR SPECIALTY DENTAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OR SPECIALTY DENTAL SERVICES LLC",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR CRED & PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yenne & Schofield Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.