Active NPI
Paventy & Brown Orthodontics II LLC
Doing business as Paventy & Brown Orthodontics- Dallas
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dallas, OR
National Provider Identifier
1609704345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- PAVENTY & BROWN ORTHODONTICS II LLC
- Doing business as
- Paventy & Brown Orthodontics- Dallas
- Practice address
- 410 E Ellendale Ave Ste 2
Dallas, OR 97338-3052 - Phone
- (971) 468-0220
- Fax
- (971) 468-0220
- NPI assigned
- May 12, 2026
- Last updated
- May 12, 2026
- 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
- Cassandra Wieth
- Title
- Director of Payer Relations
- Phone
- (623) 267-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
410 E Ellendale Ave Ste 2
Dallas, OR 97338-3052
Mailing address
410 E Ellendale Ave Ste 2
Dallas, OR 97338-3052
Phone (971) 468-0220
Other names 1
- Paventy & Brown Orthodontics- Dallas
National Provider Directory
National Provider DirectoryLocations
410 E Ellendale Ave
Ste 2
Dallas, OR 97338
Phone (503) 623-2653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1609704345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E ELLENDALE AVE STE 2",
"city": "DALLAS",
"state": "OR",
"postal_code": "973383052",
"telephone_number": "971-468-0220",
"fax_number": "971-468-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E ELLENDALE AVE STE 2",
"city": "DALLAS",
"state": "OR",
"postal_code": "973383052",
"telephone_number": "971-468-0220",
"fax_number": "971-468-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAVENTY & BROWN ORTHODONTICS II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "WIETH",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
"authorized_official_telephone_number": "623-267-8121"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paventy & Brown Orthodontics- Dallas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.