Willamette Valley Oral & Maxillofacial Surgery, Inc

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGERY, INC

Practice address

3996 Corredale CT. S.
Salem, OR 97302

Phone

(503) 581-1999

Fax

(503) 581-1107

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Holly Jayne Eyre

Title

Office Manager

Phone

(503) 581-1999

Specialties & licenses 1

Addresses

Practitioners 1

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

• James M. Eyre Jr., M.D., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Salem, OR
  • NPI 1609878172
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1619242591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 CORREDALE CT S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029326",
            "telephone_number": "503-581-1999",
            "fax_number": "503-581-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 CORREDALE CT. S.",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-581-1999",
            "fax_number": "503-581-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY ORAL & MAXILLOFACIAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "EYRE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-581-1999"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette Valley Eyewear
• Willamette Valley Hospice Inc
• Willamette Valley Medical Consultants, LLC
• Willamette Valley Medical Transport
• Willamette Valley Mental Health, LLC
• Willamette Valley Oral & Maxillofacial Surgey, Inc.
• Willamette Valley Psychological Services LLC
• Willamette Valley Radiology
• Willamette Valley Treatment Center
• Willamette Valley Treatment Center, Inc.

• Oral & Maxillofacial Surgery (D.M.D.) in Salem, OR
• Providers in Salem, OR by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.