Bayshore Sleep Solutions, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

6118 Issued in OR

Legal business name

BAYSHORE SLEEP SOLUTIONS, LLC

Practice address

38505 Brooten Rd
Ste B
Pacific City, OR 97135-8049

Phone

(503) 965-0014

Fax

(503) 965-3637

NPI assigned

Jun 10, 2016

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grant Reid Williams, DMDNPI 1912076001

Title

Owner

Phone

(503) 965-0014

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Grant R Williams, DMD

  • Dentist
  • Pacific City, OR
  • NPI 1912076001
  NPD (past) Authorized official

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1548619414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "971350818",
            "telephone_number": "503-965-0014",
            "fax_number": "503-965-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38505 BROOTEN RD",
            "address_2": "STE B",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "971358049",
            "telephone_number": "503-965-0014",
            "fax_number": "503-965-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-965-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert P. Thompson (Bayshore Family Medicine)
• Authentic Psychiatric Wellbeing LLC
• Benchmark Physical Therapy of Oregon LLC
• Blue Wellness Studio, LLC
• Jason Elliott, PMHNP-C
• Karin Kallevig
• Luke W Kohley, MSPT

• Dentist in Pacific City, OR
• Providers in Pacific City, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.