Organization 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
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.