Christopher Ryan Opdahl, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9427 Issued in OR

Practice address

2110 9TH St Ste B
Tillamook, OR 97141-3950

Phone

(503) 842-7700

NPI assigned

May 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christopher R Opdahl DDS PC

  • General Practice Dentistry
  • Tillamook, OR
  • NPI 1083933600
  NPD (past) Authorized official

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1619296316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SUNDOWN DR",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 9TH ST STE B",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413950",
            "telephone_number": "503-842-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPDAHL",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Medical Foundation of Tillamook (Adventist Health/Tillamook Medical Group)
• Northwest Medical Foundation of Tillamook (Adventist Health Tillamook)
• Northwest Medical Foundation of Tillamook (Adventist Health Occupational Medicine)
• Erin Oldenkamp, CPNP
• Karlene Olson, FNP-BC
• Gregory J Opdahl, MD
• Oregon Department of Corrections
• Angelica Ortiz-Rios
• Loryn Osburn
• Out West Properties, Inc.

• General Practice Dentistry in Tillamook, OR
• Providers in Tillamook, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.