Organization Active NPI

Orthodontic Specialty Care

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albany, OR
National Provider Identifier
1528102738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D6359 Issued in OR
Legal business name
ORTHODONTIC SPECIALTY CARE
Practice address
1040 29TH Ave SW
Albany, OR 97321-3416
Phone
(541) 926-4010
Fax
(541) 926-4148
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David W Lee, D.M.D.
Title
Owner
Phone
(541) 926-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D6359 OR Primary

Addresses

Primary practice location

1040 29TH Ave SW
Albany, OR 97321-3416

Mailing address

1040 29TH Ave SW
Albany, OR 97321-3416
Phone (541) 926-4010

National Provider Directory

National Provider Directory

Locations

1040 29th Ave SW
Albany, OR 97321
Phone (541) 926-4010

Practitioners & affiliated clinicians

Practitioners 1

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528102738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213416",
            "telephone_number": "541-926-4010",
            "fax_number": "541-926-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213416",
            "telephone_number": "541-926-4010",
            "fax_number": "541-926-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-926-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D6359",
            "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 Aug 22, 2020; 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.