Active NPI
Corey James Bickler, DMD
- General Practice Dentistry
- Salem, OR
National Provider Identifier
1629555982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D10862
- Practice address
- 160 Ramsgate SQ S Ste 150
Salem, OR 97302-5875 - Phone
- (503) 362-7869
- Fax
- (503) 362-5034
- NPI assigned
- Jul 19, 2018
- Last updated
- Jul 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10862 | OR | Primary |
Addresses
Primary practice location
160 Ramsgate SQ S Ste 150
Salem, OR 97302-5875
Mailing address
4047 Evesham LN SE
Salem, OR 97302-5187
Phone (503) 931-1416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10862 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corey Bickler, DMD, LLC | General Practice | Current | Accepting new patients |
| Carson Kutsch DDS PC | General Practice | Past | Accepting new patients |
| Monte D. Morgan D.M.D., P.C. | Single Specialty | Past | Accepting new patients |
Locations
160 Ramsgate Sq S
Ste 150
Salem, OR 97302
Phone (503) 362-7869
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Salem, OR
- NPI 1427753904
-
- General Practice Dentistry
- Albany, OR
- NPI 1043552359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1629555982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4047 EVESHAM LN SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973025187",
"telephone_number": "503-931-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 RAMSGATE SQ S STE 150",
"city": "SALEM",
"state": "OR",
"postal_code": "973025875",
"telephone_number": "503-362-7869",
"fax_number": "503-362-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKLER",
"first_name": "COREY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-19",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D10862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.