Active NPI
Smile Dentures, PLLC
- Denturist
- Astoria, OR
National Provider Identifier
1609298942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO-10157767
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 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 DirectoryLocations
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.