NPIMap

Organization Active NPI

Open Door Dental Group PC

  • General Practice Dentistry
  • Central Point, OR
National Provider Identifier
1609489137
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OPEN DOOR DENTAL GROUP PC
Practice address
1710 E Pine St Ste a
Central Point, OR 97502-2811
Phone
(541) 665-1112
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Mrs. Heather Pallo Gomez
Title
Financial Coordinator
Phone
(541) 808-0833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1710 E Pine St Ste a
Central Point, OR 97502-2811

Mailing address

1710 E Pine St Ste a
Central Point, OR 97502-2811
Phone (541) 665-1112

National Provider Directory

National Provider Directory

Locations

1710 E Pine St
Ste A
Central Point, OR 97502
Phone (541) 665-1112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1609489137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E PINE ST STE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022811",
            "telephone_number": "541-665-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E PINE ST STE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022811",
            "telephone_number": "541-665-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "PALLO",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "541-808-0833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.