Jesse Achatz DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JESSE ACHATZ DMD LLC

Practice address

8263 SW Wilsonville Rd Ste C
Wilsonville, OR 97070-8723

Phone

(503) 260-8541

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Thomas Achatz, DMDNPI 1730661794

Title

Owner

Phone

(503) 260-8541

Specialties & licenses 1

Addresses

Other names 1

• Town Center Dental Care Doing business as

Locations

Practitioners 1

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

• Jesse Thomas Achatz

  • General Practice Dentistry
  • Wilsonville, OR
  • NPI 1730661794
  NPD Authorized official

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1659059111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8263 SW WILSONVILLE RD STE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708723",
            "telephone_number": "503-260-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 SW WILSONVILLE RD STE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708723",
            "telephone_number": "503-260-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE ACHATZ DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "ACHATZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-260-8541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee L. James, MPT
• Nancy Jameson
• Deanna R Jannush
• Yelizaveta Jarding
• C Susan Jardon
• Christine Johnson
• Kelli M Johnson, OT
• Shawna Meade Johnson, COTA/L
• Tegan Johnson, PTA
• Victoria Johnson

• Dental Clinic/Center in Wilsonville, OR
• Providers in Wilsonville, 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 Jul 6, 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.

Verify at the official NPI Registry.