Organization Active NPI

Cascade Dental

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1598972903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CASCADE DENTAL
Practice address
1800 Valley River Dr
Fourth Floor
Eugene, OR 97401-6714
Phone
(541) 344-6058
Fax
(541) 343-9686
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Danny Tustin
Title
G.M.P
Phone
(541) 344-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1800 Valley River Dr
Fourth Floor
Eugene, OR 97401-6714

Mailing address

PO Box 25012
Eugene, OR 97402-0445
Phone (541) 344-6058

National Provider Directory

National Provider Directory

Locations

1800 Valley River Dr
Fl Fourth
Eugene, OR 97401
Phone (541) 344-6058

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598972903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25012",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020445",
            "telephone_number": "541-344-6058",
            "fax_number": "541-343-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VALLEY RIVER DR",
            "address_2": "FOURTH FLOOR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016714",
            "telephone_number": "541-344-6058",
            "fax_number": "541-343-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUSTIN",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "G.M.P",
        "authorized_official_telephone_number": "541-344-6058"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, 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.