NPIMap

Organization Active NPI

Oak Park Family Dental Care

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1518296193
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7020 Issued in OR
Legal business name
OAK PARK FAMILY DENTAL CARE
Practice address
760 High St NE
Salem, OR 97301-2440
Phone
(503) 588-7800
Fax
(503) 391-0762
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mrs. Barbara Jean Ketchum
Title
Office Manager
Phone
(503) 588-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D7020 OR Primary

Addresses

Primary practice location

760 High St NE
Salem, OR 97301-2440

Mailing address

760 High St NE
Salem, OR 97301-2440
Phone (503) 588-7800

Other names 1

  • Oak Park Family Dental Care-High St Other name

National Provider Directory

National Provider Directory
Tax ID family
Oak Park Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1518296193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 HIGH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012440",
            "telephone_number": "503-588-7800",
            "fax_number": "503-391-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 HIGH ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012440",
            "telephone_number": "503-588-7800",
            "fax_number": "503-391-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-588-7800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Park Family Dental Care-High St",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 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.