Organization Active NPI

Smile Dentures, PLLC

  • Denturist
  • Astoria, OR
National Provider Identifier
1609298942
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DT-DO-10157767 Issued in OR
Legal business name
SMILE DENTURES, PLLC
Practice address
3925 Abbey Lane
Ste 7
Astoria, OR 97103-2235
Phone
(503) 836-7711
Fax
(951) 888-8668
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Miss Robert Arnold Beckner II, LD
Title
Licensed Denturist
Phone
(503) 440-6540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X DT-DO-10157767 OR Primary

Addresses

Primary practice location

3925 Abbey Lane
Ste 7
Astoria, OR 97103-2235

Mailing address

3925 Abbey Lane
Ste 7
Astoria, OR 97103-2235
Phone (503) 836-7711

National Provider Directory

National Provider Directory

Locations

3925 Abbey Ln
Ste 7
Astoria, OR 97103
Phone (503) 836-7711

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1609298942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 ABBEY LANE",
            "address_2": "STE 7",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032235",
            "telephone_number": "503-836-7711",
            "fax_number": "951-888-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 ABBEY LANE",
            "address_2": "STE 7",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032235",
            "telephone_number": "503-836-7711",
            "fax_number": "951-888-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTURES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "BECKNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "LICENSED DENTURIST",
        "authorized_official_telephone_number": "503-440-6540",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10157767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.