Organization Active NPI

Cascade Dental Group, LLC

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1659839124
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CASCADE DENTAL GROUP, LLC
Practice address
1296 Commercial St SE Ste 102
Salem, OR 97302-4200
Phone
(503) 399-0724
Fax
(503) 371-7344
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Dr. Catherine M Dahl, DMDNPI 1063763076
Title
Dentist
Phone
(503) 399-0724

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 Primary

Addresses

Primary practice location

1296 Commercial St SE Ste 102
Salem, OR 97302-4200

Mailing address

1296 Commercial St SE Ste 102
Salem, OR 97302-4200
Phone (503) 399-0724

National Provider Directory

National Provider Directory

Locations

1296 Commercial St SE
Salem, OR 97302
Phone (503) 581-7959

1296 Commercial St SE
Ste 102
Salem, OR 97302
Phone (503) 399-0724

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1659839124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 COMMERCIAL ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024200",
            "telephone_number": "503-399-0724",
            "fax_number": "503-371-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 COMMERCIAL ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024200",
            "telephone_number": "503-399-0724",
            "fax_number": "503-371-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "503-399-0724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Nov 3, 2022; 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.