NPIMap

Organization Active NPI

Holly a Chamberlain DDS LLC

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1639606965
Registry record updated Mar 17, 2018
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8215 Issued in OR
Legal business name
HOLLY A CHAMBERLAIN DDS LLC
Practice address
1800 State St
Salem, OR 97301-4343
Phone
(503) 363-8625
Fax
(503) 363-0027
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Holly A Chamberlain, DDSNPI 1629137005
Title
Owner
Phone
(503) 363-8625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8215 OR Primary

Addresses

Primary practice location

1800 State St
Salem, OR 97301-4343

Mailing address

1800 State St
Salem, OR 97301-4343
Phone (503) 363-8625

Other practice location 1

858 Commercial St NE
Salem, OR 97301-1016
Phone (503) 363-8625

Other practice location 2

858 Commercial St NE
Salem, OR 97301-1016
Phone (503) 363-8625

National Provider Directory

National Provider Directory

Locations

1800 State St
Salem, OR 97301
Phone (503) 363-8625

858 Commercial St NE
Salem, OR 97301
Phone (503) 363-8625

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1639606965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014343",
            "telephone_number": "503-363-8625",
            "fax_number": "503-363-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014343",
            "telephone_number": "503-363-8625",
            "fax_number": "503-363-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 Commercial St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011016",
            "country_code": "US",
            "telephone_number": "15033638625",
            "fax_number": "503-363-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 Commercial St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011016",
            "country_code": "US",
            "telephone_number": "15033638625",
            "fax_number": "503-363-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLY A CHAMBERLAIN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-363-8625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8215",
            "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 Mar 17, 2018; 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.