Active NPI
Orthodontic Specialty Care
- Orthodontics and Dentofacial Orthopedics Dentistry
- Albany, OR
National Provider Identifier
1528102738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D6359
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Albany, OR
- NPI 1356573836
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.