NPIMap

Organization Active NPI

Capital Dental

  • Dental Clinic/Center
  • Salem, OR
National Provider Identifier
1669877270
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10150616 Issued in OR
Legal business name
CAPITAL DENTAL
Practice address
408 Lancaster Dr NE
Salem, OR 97301-4728
Phone
(503) 362-3032
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Rodrigo Castano, LD
Title
Denturist
Phone
(971) 388-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10150616 OR Primary

Addresses

Primary practice location

408 Lancaster Dr NE
Salem, OR 97301-4728

Mailing address

4918 Turquoise Ave SE
Apt D-304
Salem, OR 97317-4104
Phone (971) 388-7725

National Provider Directory

National Provider Directory

Locations

408 Lancaster Dr NE
Salem, OR 97301
Phone (503) 362-3032

Practitioners & affiliated clinicians

Practitioners 6

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1669877270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 TURQUOISE AVE SE",
            "address_2": "APT D-304",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973174104",
            "telephone_number": "971-388-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014728",
            "telephone_number": "503-362-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "971-388-7725",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "10150616",
            "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 Oct 24, 2014; 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.