Organization Active NPI

Mountain and River Dental and Associates

  • Dental Clinic/Center
  • Hood River, OR
National Provider Identifier
1518631753
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOUNTAIN AND RIVER DENTAL AND ASSOCIATES
Practice address
1216 12TH St
Hood River, OR 97031-1604
Phone
(541) 386-3525
Fax
(541) 386-6647
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Mr. Patrick Timothy Dillon
Title
Office Manager
Phone
(805) 681-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1216 12TH St
Hood River, OR 97031-1604

Mailing address

2780 State St Ste 6
Santa Barbara, CA 93105-5522
Phone (805) 681-4848

National Provider Directory

National Provider Directory

Locations

2780 State St
Ste 6
Santa Barbara, CA 93105
Phone (805) 681-4848

Practitioners & affiliated clinicians

Practitioners 2

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": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1518631753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 STATE ST STE 6",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055522",
            "telephone_number": "805-681-4848",
            "fax_number": "805-456-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311604",
            "telephone_number": "541-386-3525",
            "fax_number": "541-386-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AND RIVER DENTAL AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-681-4848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.