NPIMap

Organization Active NPI

Oregon Institute of Technology

Doing business as Oregon Tech Dental Clinic-Klamath Falls

  • Dental Clinic/Center
  • Klamath Falls, OR
National Provider Identifier
1679091078
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OREGON INSTITUTE OF TECHNOLOGY
Doing business as
Oregon Tech Dental Clinic-Klamath Falls
Practice address
3201 Campus Dr
Klamath Falls, OR 97601-8801
Phone
(541) 885-1330
NPI assigned
Sep 6, 2017
Organization subpart
Yes
Parent organization
OREGON INSTITUTE OF TECHMOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Vivian Chen, J.D.
Title
Contracts Officer and Legal Liaison
Phone
(503) 821-1266

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3201 Campus Dr
Klamath Falls, OR 97601-8801

Mailing address

3201 Campus Dr
Klamath Falls, OR 97601-8801
Phone (541) 885-1000

Other names 1

  • Oregon Tech Dental Clinic-Klamath Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oregon Institute of Technology2 organizations share this tax ID, including this one
Part of
Oregon Institute of Technology

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 Campus Dr
Klamath Falls, OR 97601
Phone (541) 885-1330

Practitioners & affiliated clinicians

Practitioners 2

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": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1679091078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON INSTITUTE OF TECHNOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON INSTITUTE OF TECHMOLOGY",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CONTRACTS OFFICER AND LEGAL LIAISON",
        "authorized_official_telephone_number": "503-821-1266",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Tech Dental Clinic-Klamath Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.