Managed Dental Care of Oregon, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MANAGED DENTAL CARE OF OREGON, INC.

Practice address

3000 Market St NE
Suite 222
Salem, OR 97301-1882

Phone

(503) 585-5205

Fax

(503) 581-0043

NPI assigned

Feb 18, 2008

Last updated

Feb 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Hart Laws

Title

President

Phone

(503) 585-5205

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1639347198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "address_2": "SUITE 222",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "503-585-5205",
            "fax_number": "503-581-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE",
            "address_2": "SUITE 222",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011882",
            "telephone_number": "503-585-5205",
            "fax_number": "503-581-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED DENTAL CARE OF OREGON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-585-5205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122544",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Malinn, DPT
• Arvin Junn Pastoral Mallari, MD
• Kristina Malmberg, MS, SLP-CCC
• Marc R Malone, PSYD
• Danielle Maloney, BCBA
• Daniella Catabay Manarang, PA-C
• Mangata Wellness, Inc
• Stephanie C Mangual Leon, NP
• Laura Elizabeth Mangum-Childers, LCSW
• Aubrey Mankins

• Dental Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.